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[Two cases of parturients with intracranical hemorrhage accompanied by seizure]

Shuhei Tetsu1, Miho Maeda, Genya Urimoto

  • 1Department of Anesthesiology, Tokai University School of Medicine, Isehara 259-1193.

Masui. the Japanese Journal of Anesthesiology
|May 18, 2012
PubMed

Intracranial hemorrhage during pregnancy is a rare complication, and it results in a high perinatal mortality rate. We recently encountered 2 cases of intracranial hemorrhage during pregnancy. They underwent cesarean section under general anesthesia. Anesthetic management is difficult because we must avoid hemodynamic change and increasing intracranial pressure, and we have difficult airway management. It is also very difficult to prepare for the prevention before the onset because it develops suddenly, and quick action is important. We must prepare tools of airway management and assemble people. In addition, it is important to use the hypotensive drugs which do not affect placental blood-flow to keep systolic blood pressure around 120-140 if it is necessary to suppress the rise of the blood pressure.

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