Anesthetic management for emergent cesarean section in a patient with penetrating head injury.

Anesthetic intervention in the parturient is challenging as a consequence of the anatomic and physiological changes of pregnancy. The added encumbrance of central nervous system injury requires careful consideration for the selection of anesthetic agents and the management of anesthetic technique, with emphasis on the maintenance of maternal neurological function and fetal well-being. The authors discuss the selection of anesthetic agents and management of anesthesia in an acute head-injured parturient who required emergent intervention for the delivery of a premature infant.