Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Archives of Gynecology and Obstetrics
Erschienen in: Archives of Gynecology and Obstetrics 1/2006

01.04.2006 | Original Article

Labor analgesia for the parturient with neurological disease: what does an obstetrician need to know?

verfasst von: Krzysztof M. Kuczkowski

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 1/2006

Einloggen, um Zugang zu erhalten

Abstract

Several neurological disorders including multiple sclerosis, myasthenia gravis, epilepsy, spinal cord injury, and subarachnoid hemorrhage are encountered with increasing frequency in pregnant women worldwide. Although there is absence of uniform anesthetic guidelines for pregnant patients with most of these (and other) neurological disorders, and the decision whether or not to administer regional anesthesia is based on an individual risk-to-benefit ratio on a case-by-case basis, few of these disorders contraindicate the use of neuraxial anesthesia. This article attempts to review the specific concerns for administration of labor analgesia posed by multiple sclerosis, myasthenia gravis, epilepsy, paraplegia and subarachnoid hemorrhage.
Literatur
1.
Karnad DR, Guntupalli KK (2005) Neurologic disorders in pregnancy. Crit Care Med 33 (suppl 10): S362–371
2.
Ferrero S, Pretta S, Ragni N (2004) Multiple sclerosis: management issues during pregnancy. Eur J Obstet Gynecol Reprod Biol 15:3–9CrossRef
3.
Kytta J, Rosenberg P (1984) Anaesthesia for patients with multiple sclerosis. Ann Chir Gynaecol 73:299–303PubMed
4.
Reisner LS, Kuczkowski KM (2003) Anesthetic considerations for complicated pregnancies. In: Creasy Resnik, Iams (eds) Maternal–fetal medicine. Elsevier, Philadelphia, pp 1243–1260
5.
Crawford JS, James FM, Nolte H, et al. (1981) Regional analgesia for patients with chronic neurological disease and similar conditions. Anaesthesia 36:821–824CrossRef
6.
Bader AM, Hunt CO, Datta S et al. (1988) Anesthesia for the pregnant patient with multiple sclerosis. J Clin Anesth 1:21–24PubMedCrossRef
7.
Dalmas AF, Texier C, Ducloy-Bouthors AS, Krivosic-Horber R (2003) Obstetrical analgesia and anaesthesia in multiple sclerosis. Ann Fr Anesth Reanim 22:861–864PubMed
8.
Bader AM (1999) Neurologic and neuromuscular disease. In: Chestnut DH (ed) Obstetric anesthesia: principles and practice. MosbySt. Louis, pp 963–985
9.
Yamashita K, Yokoyama T, Tokai H et al. (2003) Anesthetic management for a patient with multiple sclerosis at exacerbation stage under general anesthesia. Masui 52:521–523PubMed
10.
Chabert L, Benhamou D (2004) Myasthenia gravis, pregnancy and delivery: a series of ten cases. Ann Fr Anesth Reanim 23:459–464PubMedCrossRef
11.
Bui PK, Kuczkowski KM, Moeller-Bertram T, Sanchez RA (2004) New onset Lambert–Eaton Myasthenic Syndrome as an unexpected cause of delayed recovery from general anesthesia after thyroidectomy. Ann Fr Anesth Reanim 23:926–927PubMed
12.
Jeha LE, Morris HH (2005) Optimizing outcomes in pregnant women with epilepsy. Cleve Clin J Med 72:942–945CrossRef
13.
Hunt SJ, Morrow JI (2005) Safety of antiepileptic drugs during pregnancy. Expert Opin Drug Saf 4:869–877PubMedCrossRef
14.
Crawford P (2005) Best practice guidelines for the management of women with epilepsy. Epilepsia 46(Suppl):117–124PubMedCrossRef
15.
Kuczkowski KM (2002) Seizures on emergence from sevoflurane anaesthesia for Caesarean section in a healthy parturient. Anaesthesia 57:1234–1235PubMedCrossRef
16.
Hsieh SW, Lan KM, Luk HN, Jawan B (2004) Postoperative seizures after sevoflurane anesthesia in a neonate. Acta Anaesthesiol Scand 48:663PubMedCrossRef
17.
18.
Pereira L (2003) Obstetric management of the patient with spinal cord injury. Obstet Gynecol Surv 58:678–687PubMedCrossRef
19.
Kuczkowski KM (2003) Peripartum anaesthetic management of a parturient with spinal cord injury and autonomic hyperreflexia. Anaesthesia 58:823–824PubMedCrossRef
20.
American College of Obstetrics and Gynecology (2002) ACOG committee opinion. Obstetric management of patients with spinal cord injuries. Committee on Obstetric Practice. American College of Obstetrics and Gynecology. Number 275, September 2002. Int J Gynaecol Obstet 79:189–191
21.
Popov I, Ngambu F, Mantel G, et al. (2003) Acute spinal cord injury in pregnancy: an illustrative case and literature review. J Obstet Gynaecol 23:596–598PubMedCrossRef
22.
Schonwald G, Fish KJ, Perkash I (1981) Cardiovascular complications during anesthesia in chronic spinal cord injured patients. Anesthesiology 55:550–558PubMedCrossRef
23.
Baraka A (1985) Epidural meperidine for control of autonomic hyperreflexia in a paraplegic parturient. Anesthesiology 62:688–690PubMedCrossRef
24.
Lambert DH, Deane RS, Mazuzan JE (1982) Anesthesia and the control of blood pressure in patients with spinal cord injury. Anesth Analg 61:344–348PubMedCrossRef
25.
Wanner MB, Rageth CJ, Zach GA (1987) Pregnancy and autonomic hyperreflexia in patients with spinal cord lesions. Paraplegia 25:482–490PubMed
26.
Gronert GA, Theye RA (1975) Pathophysiology of hyperkalemia induced by succinylcholine. Anesthesiology 43:89–99PubMedCrossRef
27.
Kuczkowski KM (2004) Planning for labor (and labor analgesia) in a parturient with spinal cord injury: a need for a multidisciplinary approach. Spine J 4:370PubMedCrossRef
28.
Dias MS, Sekhar LM (1990) Intracranial hemorrhage from aneurysms and arteriovenous malformations during pregnancy and the puerperium. Neurosurgery 25:855–865CrossRef
29.
Riviello C, Ammannati F, Bordi L et al. (2004) Pregnancy and subarachnoid hemorrhage: a case report. J Matern Fetal Neonatal Med 16:245–246PubMedCrossRef
30.
Horton JC, Chambers WA, Lyons SL et al. (1990) Pregnancy and the risk of hemorrhage from cerebral arteriovenous malformations. Neurosurgery 27:867–871PubMedCrossRef
31.
Isert PR (2000) Intracranial disease during pregnancy: anesthetic management. In: Birnbach DJ, Gatt SP, Datta S (eds) Textbook of obstetric anesthesia. Churchill Livingstone, New York pp 643–654
32.
Leicht CH (1990) Anesthesia for the pregnant patient undergoing nonobstetric surgery. Anesth Clin North Am 8:131–133
33.
Kuczkowski KM (2004) Nonobstetric surgery during pregnancy: what are the risks of anesthesia? Obstet Gynecol Surv 59:52–56PubMedCrossRef
34.
Donchin Y, Amirav B, Sahar A et al. (1978) Sodium nitroprusside for aneurysm surgery in pregnancy. Br J Anaesth 50:849–851PubMedCrossRef
35.
Minielly R, Yupze AA, Drake CG (1979) Subarachnoid hemorrhage secondary to ruptured cerebral aneurysm during pregnancy. Obstet Gynecol 53:64–70PubMed
36.
37.
Selo-Ojeme DO, Marshman LA, Ikomi A et al. (2004) Aneurysmal subarachnoid haemorrhage in pregnancy. Eur J Obstet Gynecol Reprod Biol 15:131–143CrossRef
Metadaten
Titel
Labor analgesia for the parturient with neurological disease: what does an obstetrician need to know?
verfasst von
Krzysztof M. Kuczkowski
Publikationsdatum
01.04.2006
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 1/2006
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-006-0125-3

Weitere Artikel der Ausgabe 1/2006

Archives of Gynecology and Obstetrics 1/2006 Zur Ausgabe

Original Article

Short-term effects of hormone therapy on serum C-reactive protein levels in postmenopausal women

Original Article

Abdominal vs vaginal hysterectomy: a comparative study of the postoperative quality of life and satisfaction

Original Article

Hormonal alterations in gum disease leading to preterm labor

Original Article

Obstetric admissions to the intensive care unit: a 12-year review

Original Article

Decision-to-delivery interval for instrumental vaginal deliveries: vacuum extraction versus forceps

Case Report

Gestational intestinal obstruction: a case report and review of literature

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Antikörper-Wirkstoff-Konjugat hält solide Tumoren in Schach

16.05.2024 Zielgerichtete Therapie Nachrichten

Trastuzumab deruxtecan scheint auch jenseits von Lungenkrebs gut gegen solide Tumoren mit HER2-Mutationen zu wirken. Dafür sprechen die Daten einer offenen Pan-Tumor-Studie.

Mammakarzinom: Senken Statine das krebsbedingte Sterberisiko?

15.05.2024 Mammakarzinom Nachrichten

Frauen mit lokalem oder metastasiertem Brustkrebs, die Statine einnehmen, haben eine niedrigere krebsspezifische Mortalität als Patientinnen, die dies nicht tun, legen neue Daten aus den USA nahe.

Neue S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

15.05.2024 Harnwegsinfektionen Nachrichten

Welche Antibiotika darf man bei unkomplizierter Zystitis verwenden und wovon sollte man die Finger lassen? Welche pflanzlichen Präparate können helfen? Was taugt der zugelassene Impfstoff? Antworten vom Koordinator der frisch überarbeiteten S3-Leitlinie, Prof. Florian Wagenlehner.

Gestationsdiabetes: In der zweiten Schwangerschaft folgenreicher als in der ersten

13.05.2024 Gestationsdiabetes Nachrichten

Das Risiko, nach einem Gestationsdiabetes einen Typ-2-Diabetes zu entwickeln, hängt nicht nur von der Zahl, sondern auch von der Reihenfolge der betroffenen Schwangerschaften ab.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen
Bildnachweise