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.
|ジャーナル||Japanese Journal of Anesthesiology|
|出版ステータス||Published - 2018 7月|
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