Anesthesia Management for Parturients with Intracranial Pathology in a District Hospital in West Sumatera

Roza, Rizky Loviana and Susilo, Astrid Pratidina and Pryambodho, Pryambodho (2020) Anesthesia Management for Parturients with Intracranial Pathology in a District Hospital in West Sumatera. In: 17th Indoanesthesia, 12-15 Februari 2020, Jakarta.

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Abstract

Neurological disorder contributes significantly to maternal morbidity and mortality.1 Neuraxial anesthesia has some advantages for parturients such as less neonatal exposure to potentially depressant drugs, a decreased risk of maternal pulmonary aspiration, an awake mother at the birth of her child, and the option of using spinal opioids for postoperative pain relief.2 Increased intracranial pressure is considered to be related to neuraxial anesthesia in a parturient with intracranial pathology2. Therefore, anesthesiologists need thorough consideration to choose anesthesia for Caesarian delivery. Leffert and Schwamm proposed a decision tree that can serve as a framework for anesthesiologists to determine the choice of anesthesia (Figure 1). This decision tree is based on clinical data, including imaging.3 Indonesia has different levels of the hospital, namely provincial and district hospitals. Due to the unavailability of brain imaging, anesthesiologists at the district hospitals encounter some constraints to choose between neuraxial and general anesthesia for Caesarian delivery for the parturient with intracranial pathology. This case series aimed to discuss how the decision tree can be applied in the setting of a district hospital in Indonesia.

Item Type:	Conference or Workshop Item (Poster)
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medical
Depositing User:	Eko Setiawan 194014
Date Deposited:	02 Feb 2021 06:41
Last Modified:	24 Mar 2021 16:32
URI:	http://repository.ubaya.ac.id/id/eprint/38828

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