• Int J Obstet Anesth · Apr 2004

    Case Reports

    Epidural anaesthesia for caesarean section in a patient with quadriplegia and autonomic hyperreflexia.

    • R Burns and V A Clark.
    • Department of Anaesthesia, Critical Care and Pain Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK. rosburnsgraham@aol.com
    • Int J Obstet Anesth. 2004 Apr 1; 13 (2): 120-3.

    AbstractThe anaesthetic management of a pregnant quadriplegic woman with a history of autonomic hyperreflexia is discussed. Autonomic hyperreflexia is a life-threatening complication of high spinal cord transection, for which labour is a well known stimulus. It can lead to uncontrolled hypertension. We discuss the anaesthetic considerations in planning the care of this patient, who was managed for elective caesarean section and post partum hypertension with epidural anaesthesia.

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