脊髓刺激器患者的紧急剖宫产：对手术和麻醉的影响
Urgent cesarean section in a patient with a spinal cord stimulator: implications for surgery and anesthesia.
作者信息
Patel Suhas, Das Samita, Stedman Robin B
机构信息
Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA.
Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA ; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.
出版信息
Ochsner J. 2014 Spring;14(1):131-4.
BACKGROUND
Spinal cord stimulation used in the treatment of chronic pain is offered to women of child-bearing age. This practice warrants special consideration on the part of the obstetricians and anesthesiologists charged with their care.
CASE REPORT
We report the instance of a parturient with a spinal cord stimulator who presented for urgent cesarean section. In spite of the patient's daunting back examination, the suitability of neuraxial anesthesia for cesarean delivery was rapidly determined by accessing images in our centerwide electronic medical record system.
CONCLUSION
Accepted approaches to managing labor and delivery-such as neuraxial anesthesia and analgesia-need not be denied patients with spinal cord stimulators. Whenever possible, however, the pain specialist should communicate the specific characteristics of the implanted device to the team who will manage the patient in the peripartal period.
背景
脊髓刺激疗法用于治疗慢性疼痛，适用于育龄女性。负责照料她们的产科医生和麻醉医生需对此特别关注。
病例报告
我们报告了一例携带脊髓刺激器的产妇行急诊剖宫产的病例。尽管患者背部检查情况不佳，但通过查阅我们中心的电子病历系统中的图像，迅速确定了神经轴索麻醉用于剖宫产的适用性。
结论
对于携带脊髓刺激器的患者，不应拒绝采用公认的分娩管理方法，如神经轴索麻醉和镇痛。然而，疼痛专科医生应尽可能将植入装置的具体特征告知围产期管理患者的团队。
Zotero 插件