Anesthetic Management Of A Parturient With Previous Spinal Cord Injury
A 27-yo G2P1001 presented to OB triage at 37w6d for repeat elective C-section. She had a history of C6 spinal cord injury following a gunshot wound as a child, neurogenic bladder, leukopenia, and anemia. The patient had multiple previous uneventful operations including spine surgery and a cesarean section. She was wheelchair bound but had some movement and sensation in all extremities. The patient received general anesthesia and had an uncomplicated intraoperative course, however two hours post-delivery, she developed acute hypertension, tachycardia, headache, and diaphoresis. In this presentation, we will discuss the differential diagnosis of acute hypertension in the paraplegic patient.
Zhang J, Lepczyk LA, Soto RG. Anesthetic management of a parturient with previous spinal cord injury. Abstract presented at: Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL. 2019 October 19-23.