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- Dayley S Keil, Bryant A Murphy, and Benjamin G Cobb.
- From the Department of Anesthesiology, the University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
- A A Pract. 2022 May 1; 16 (5): e01595.
AbstractA 31-year-old G2P1 (gravida 2 para 1) woman at 34 weeks of gestation presented after a motor vehicle collision with an incomplete cervical spinal cord injury. The patient underwent emergent anterior cervical decompression and fusion (ACDF), immediately followed by cesarean delivery. We discuss the clinical decision making to perform ACDF first, weighing risks and benefits to both mother and baby. We also address important anesthetic considerations for this pregnant patient having emergent spine surgery, including positioning with left uterine displacement, rapid sequence intubation to minimize aspiration risk, choice of vasopressor, implications of total intravenous maintenance anesthetic, and the medical teams involved in this care.Copyright © 2022 International Anesthesia Research Society.
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