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

研究成果: Article査読

抄録

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.

本文言語English
ページ(範囲)735-739
ページ数5
ジャーナルJapanese Journal of Anesthesiology
67
7
出版ステータスPublished - 2018 7月
外部発表はい

ASJC Scopus subject areas

  • 麻酔学および疼痛医療

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