Anesthesia for a Patient With Cerebrovascular Accident with Seizure Disorder Undergoing Medical Termination of Pregnancy: A Case Report

Cureus. 2023 Jul 26;15(7):e42487. doi: 10.7759/cureus.42487. eCollection 2023 Jul.

Abstract

The term "total intravenous anesthesia" refers to the preservation of an anesthetic plane with the use of an injectable anesthetic, a sedative that is often given in intermittent boluses. The tendency to have recurrent unprovoked seizures is known as epilepsy. Its prevalence ranges from 0.5% to 1%. The highest incidence rates are in those with anatomical or developmental brain abnormalities, as well as at the extremes of age. The most common triggering factors for epilepsy are stress and fear. The main advantage of total intravenous anesthesia is the patient's rapid recovery and early ambulatory. Conscious sedation is a strategy for giving patients excellent anesthesia and analgesia. In this case report, we will describe a high-risk epileptic patient who required conscious sedation to perform a medical termination.

Keywords: cerebrovascular accident (stroke); ketamine; multi-focal seizure; procedural sedation and analgesia; propofol; refractory seizure; total intravenous anesthesia (tiva).

Publication types

  • Case Reports