The Choice of Anesthesia for Cesarean Section in Patients with Guillain Barre Syndrome - the Dilemma Continues. | [Anaesthesia, Pain and Intensive Care • 2015]

Author(s):

1. Suman Arora: Department of Anesthesiology & Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

2. Neeru Sahni: Department of Anesthesiology & Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

3. Latha Y: Department of Anesthesiology & Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

Abstract:

Guillain Barre syndrome (GBS) in pregnancy is associated with increased maternal mortality due to respiratory failure.1 Though the incidence of GBS is low (0.75-2 in 100,000 per year)2 there are case reports describing anesthesia for a patient with GBS. The review of literature does not show any consensus or guideline for choice of anesthesia and/or safe management of these patients for emergency surgery like cesarean section (CS). A patient with GBS suffers from ascending paralysis, progressive motor weakness and areflexia. The exact etiology of this syndrome is not known but it usually follows episodes of gastroenteritis or upper respiratory infection, as also in our patient.3 The characteristic ascending paralysis raises the doubt of this syndrome as it is the most common cause of acute generalized paralysis.4 Though the uterine tone is maintained and there is no contraindication for normal vaginal delivery in a pregnant patient with GBS,4 the presence of IUGR and oligohydramnios may lead to the decision for cesarean delivery.

Page(s): 209-210

DOI: DOI not available

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 19, Issue: 2, Year: 2015

Keywords:

Keywords are not available for this article.

References:

[1] 1990.Subdural spread of a local anaesthetic following installation of a peridural catheter,Reg Anaesth 13 88 -90

[2] 2004.Accidental subdural injection during attempted lumbar epidural block may present as a failed or inadequate block: radiographic evidence,Reg Anesth Pain Med 29 45 -51

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