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

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 journal › Article › peer-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 language	English
Pages (from-to)	735-739
Number of pages	5
Journal	Japanese Journal of Anesthesiology
Volume	67
Issue number	7
Publication status	Published - 2018 Jul
Externally published	Yes

Keywords

Cesarean delivery
Chorioamnionitis
Fever
Spinal anesthesia

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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Safety of spinal anesthesia in women with chorioamnionitis with body temperature above 39°C. / Kaneko, Tomomi; Yoshioka, Hiroe; Kato, Azusa; Tamura, Kazumi; Narita, Yuko; Ohashi, Yuki; Mazda, Yusuke; Tanaka, Motoshi; Terui, Katsuo; Akinaga, Chieko.

In: Japanese Journal of Anesthesiology, Vol. 67, No. 7, 07.2018, p. 735-739.

Research output: Contribution to journal › Article › peer-review

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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.",

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AU - Kaneko, Tomomi

AU - Yoshioka, Hiroe

AU - Kato, Azusa

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AU - Narita, Yuko

AU - Ohashi, Yuki

AU - Mazda, Yusuke

AU - Tanaka, Motoshi

AU - Terui, Katsuo

AU - Akinaga, Chieko

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AB - 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.

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