[Spinal Anesthesia for Emergency Cesarean Section in a Spinocerebellar Degeneration Patient]

Masui. 2016 Nov;65(11):1182-1183.
[Article in Japanese]

Abstract

We report a case of a 38-year-old woman with spi- nocerebellar degeneration who had spinal anesthesia for emergency cesarean section. Spinal anesthesia was initiated with 2.2 ml of 0.5% bupivacaine, 10 μg fentanyl and 100 μg morphine hydrochloride at L3-4. Sensory loss was T4 level. For treatment of hypotension, we performed volume loading and administration of ephedrine and phenylephrine. Operation and spinal anesthesia were completed without serious problem. There was no sign of postoperative neurological complication.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anesthesia, Obstetrical / adverse effects
  • Anesthesia, Spinal* / adverse effects
  • Anesthetics, Local / administration & dosage
  • Bupivacaine / administration & dosage
  • Cesarean Section*
  • Ephedrine / administration & dosage
  • Female
  • Fentanyl / administration & dosage
  • Humans
  • Hypotension / drug therapy
  • Hypotension / etiology
  • Morphine
  • Phenylephrine / administration & dosage
  • Pregnancy
  • Pregnancy Complications*
  • Spinocerebellar Degenerations*

Substances

  • Anesthetics, Local
  • Phenylephrine
  • Morphine
  • Ephedrine
  • Fentanyl
  • Bupivacaine