Safety of spinal anesthesia in women with chorioamnionitis with body temperature above 39°C

Tomomi Kaneko, Hiroe Yoshioka, Azusa Kato, Kazumi Tamura, Yuko Narita, Yuki Ohashi, Yusuke Mazda, Motoshi Tanaka, Katsuo Terui, Chieko Akinaga

Research output: Contribution to journalArticlepeer-review

Abstract

Parturients with chorioamnionitis (CAM) often require emergency cesarean delivery (CD). Safety of regional anesthesia in women with extremely high fever has not been established. We report 4 women with preoperative body temperature greater than 39°C who received spinal anesthesia for CD. One patient required high dose phenylephrine for post-spinal hypotensioa resulting in fetal lactic acidosis. Other 3 women had uneventful perioperative course. None of the patients developed meningitis or epidural abscess. We conclude that women with CAM may safely receive spinal anesthesia despite extremely high body temperature, if they have received appropriate antibiotics preoperatively, and unless signs and symptoms of sepsis are present.

Original languageEnglish
Pages (from-to)735-739
Number of pages5
JournalJapanese Journal of Anesthesiology
Volume67
Issue number7
Publication statusPublished - 2018 Jul
Externally publishedYes

Keywords

  • Cesarean delivery
  • Chorioamnionitis
  • Fever
  • Spinal anesthesia

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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