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Canadian Journal of Anesthesia, Vol 31, 451-454, Copyright © 1984 by Canadian Anesthesiologists' Society

Clinical Reports: Anaesthesia for Caesarean Section and Cerebral Aneurysm Clipping

KENNETH A. CONKLIN MD PHD1, GEORGE HERR MD1, and DAVID FUNG MD1

1 Department of Anaesthesiology, UCLA School of Medicine, Los Angeles, California, USA

Address correspondence to: Dr. Kenneth A. Conklin, Department of Anesthesiology, UCLA School of Medicine, Center For The Health Sciences, Los Angeles, CA 90024.

A pregnant patient at 38 weeks gestation presented for a combined procedure of Caesarean section, tubal ligation and cerebral aneurysm clipping. Anaesthesia was induced with thiopental, succinylcholine was administered to facilitate tracheal intubation, and intravenous lidocaine and sodium nitroprusside were used to reduce the hypertensive response to tracheal intubation. Anaesthesia was maintained with nitrous oxide until delivery of the infant, after which time fentanyl, low-dose halothane and pancuronium were added for maintenance of anaesthesia during the neurosurgical procedure. Blood pressure was controlled during the case by administration of a sodium nitroprusside infusion and propranolol. Following completion of the surgical procedures, the patient promptly emerged from anaesthesia and was neurologically normal in the operating room. It is concluded that general anaesthesia can be used satisfactorily for a combined procedure of Caesarean section and cerebral aneurysm clipping.

Key Words: ANAESTHESIA: neurologic, obstetric






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Copyright © 1984 by the Canadian Anesthesiologists' Society.