Chiari I malformation in parturients
Study Objective: To assess complications of regional as well as general anesthesia in parturients with Chiari I malformation. Design: Retrospective chart review Setting: Academic medical center Patients: All parturients in our institution who had the diagnosis of Chiari I malformation and delivered...
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| Veröffentlicht in: | Journal of clinical anesthesia 2002-05, Vol.14 (3), p.201-205 |
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| container_title | Journal of clinical anesthesia |
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| creator | Chantigian, Robert C. Koehn, Monica A. Ramin, Kirk D. Warner, Mark A. |
| description | Study Objective:
To assess complications of regional as well as general anesthesia in parturients with Chiari I malformation.
Design:
Retrospective chart review
Setting:
Academic medical center
Patients:
All parturients in our institution who had the diagnosis of Chiari I malformation and delivered in our hospitals over a 50-year period.
Main Results:
12 parturients delivered 30 babies. Three deliveries were facilitated with general anesthesia. Nine deliveries were facilitated with central axis anesthesia, six with epidural anesthesia, two with a single injection of a spinal anesthetic, and one with a continuous spinal catheter. The patient who received a continuous spinal catheter developed a postdural puncture headache that resolved with an epidural blood patch. None of the patients who received general, spinal, or epidural anesthesia for their deliveries developed symptoms or had exacerbation of preexisting symptoms of Chiari I malformation.
Conclusions:
General anesthesia, as well as spinal and epidural anesthesia, appeared to be safe and effective in our series of vaginal or cesarean delivery patients. The small number of patients in our series does not negate the cautious recommendations of others, but suggests that general anesthesia, as well as spinal or epidural anesthesia, can be used safely and effectively in these patients. |
| doi_str_mv | 10.1016/S0952-8180(02)00342-2 |
| format | Article |
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To assess complications of regional as well as general anesthesia in parturients with Chiari I malformation.
Design:
Retrospective chart review
Setting:
Academic medical center
Patients:
All parturients in our institution who had the diagnosis of Chiari I malformation and delivered in our hospitals over a 50-year period.
Main Results:
12 parturients delivered 30 babies. Three deliveries were facilitated with general anesthesia. Nine deliveries were facilitated with central axis anesthesia, six with epidural anesthesia, two with a single injection of a spinal anesthetic, and one with a continuous spinal catheter. The patient who received a continuous spinal catheter developed a postdural puncture headache that resolved with an epidural blood patch. None of the patients who received general, spinal, or epidural anesthesia for their deliveries developed symptoms or had exacerbation of preexisting symptoms of Chiari I malformation.
Conclusions:
General anesthesia, as well as spinal and epidural anesthesia, appeared to be safe and effective in our series of vaginal or cesarean delivery patients. The small number of patients in our series does not negate the cautious recommendations of others, but suggests that general anesthesia, as well as spinal or epidural anesthesia, can be used safely and effectively in these patients.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/S0952-8180(02)00342-2</identifier><identifier>PMID: 12031753</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Abdominal surgery. Urology. Gynecology. Obstetrics ; Academic Medical Centers ; Adolescent ; Adult ; Anesthesia ; Anesthesia - adverse effects ; Anesthesia depending on type of surgery ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthetic complications ; Arnold-Chiari Malformation - complications ; Biological and medical sciences ; Female ; Humans ; Medical sciences ; Middle Aged ; neurologic anomalies ; Parturition - physiology ; Pregnancy ; Retrospective Studies</subject><ispartof>Journal of clinical anesthesia, 2002-05, Vol.14 (3), p.201-205</ispartof><rights>2002 Elsevier Science Inc.</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-35a0548bfba5eb1388a8a5c77dc4893799f8ddd5182d27c3831e660a639be5333</citedby><cites>FETCH-LOGICAL-c391t-35a0548bfba5eb1388a8a5c77dc4893799f8ddd5182d27c3831e660a639be5333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0952-8180(02)00342-2$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13695279$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12031753$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chantigian, Robert C.</creatorcontrib><creatorcontrib>Koehn, Monica A.</creatorcontrib><creatorcontrib>Ramin, Kirk D.</creatorcontrib><creatorcontrib>Warner, Mark A.</creatorcontrib><title>Chiari I malformation in parturients</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>Study Objective:
To assess complications of regional as well as general anesthesia in parturients with Chiari I malformation.
Design:
Retrospective chart review
Setting:
Academic medical center
Patients:
All parturients in our institution who had the diagnosis of Chiari I malformation and delivered in our hospitals over a 50-year period.
Main Results:
12 parturients delivered 30 babies. Three deliveries were facilitated with general anesthesia. Nine deliveries were facilitated with central axis anesthesia, six with epidural anesthesia, two with a single injection of a spinal anesthetic, and one with a continuous spinal catheter. The patient who received a continuous spinal catheter developed a postdural puncture headache that resolved with an epidural blood patch. None of the patients who received general, spinal, or epidural anesthesia for their deliveries developed symptoms or had exacerbation of preexisting symptoms of Chiari I malformation.
Conclusions:
General anesthesia, as well as spinal and epidural anesthesia, appeared to be safe and effective in our series of vaginal or cesarean delivery patients. The small number of patients in our series does not negate the cautious recommendations of others, but suggests that general anesthesia, as well as spinal or epidural anesthesia, can be used safely and effectively in these patients.</description><subject>Abdominal surgery. Urology. Gynecology. Obstetrics</subject><subject>Academic Medical Centers</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anesthesia</subject><subject>Anesthesia - adverse effects</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthetic complications</subject><subject>Arnold-Chiari Malformation - complications</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>neurologic anomalies</subject><subject>Parturition - physiology</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkLtOwzAUhi0EoqXwCKAMgGAI2D5xbE8IVVwqVWIAZstxHGGUS7ETJN4et43oyHSG8_3n8iF0SvANwSS_fcWS0VQQga8wvcYYMprSPTQlgkOaMSr30fQPmaCjED4xxrFBDtGEUAyEM5ii8_mH094li6TRddX5RveuaxPXJivt-8E72_bhGB1Uug72ZKwz9P748DZ_TpcvT4v5_TI1IEmfAtOYZaKoCs1sQUAILTQznJcmExK4lJUoy5IRQUvKDQggNs-xzkEWlgHADF1u56589zXY0KvGBWPrWre2G4LihFOaZzyCbAsa34XgbaVW3jXa_yiC1VqP2uhR698VpmqjR9GYOxsXDEVjy11q9BGBixHQwUQhXrfGhR0HeRzLZeTutpyNOr6d9SqYqMrY0nlrelV27p9TfgG9MX80</recordid><startdate>20020501</startdate><enddate>20020501</enddate><creator>Chantigian, Robert C.</creator><creator>Koehn, Monica A.</creator><creator>Ramin, Kirk D.</creator><creator>Warner, Mark A.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020501</creationdate><title>Chiari I malformation in parturients</title><author>Chantigian, Robert C. ; Koehn, Monica A. ; Ramin, Kirk D. ; Warner, Mark A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-35a0548bfba5eb1388a8a5c77dc4893799f8ddd5182d27c3831e660a639be5333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Abdominal surgery. Urology. Gynecology. Obstetrics</topic><topic>Academic Medical Centers</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Anesthesia</topic><topic>Anesthesia - adverse effects</topic><topic>Anesthesia depending on type of surgery</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthetic complications</topic><topic>Arnold-Chiari Malformation - complications</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>neurologic anomalies</topic><topic>Parturition - physiology</topic><topic>Pregnancy</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chantigian, Robert C.</creatorcontrib><creatorcontrib>Koehn, Monica A.</creatorcontrib><creatorcontrib>Ramin, Kirk D.</creatorcontrib><creatorcontrib>Warner, Mark A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chantigian, Robert C.</au><au>Koehn, Monica A.</au><au>Ramin, Kirk D.</au><au>Warner, Mark A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chiari I malformation in parturients</atitle><jtitle>Journal of clinical anesthesia</jtitle><addtitle>J Clin Anesth</addtitle><date>2002-05-01</date><risdate>2002</risdate><volume>14</volume><issue>3</issue><spage>201</spage><epage>205</epage><pages>201-205</pages><issn>0952-8180</issn><eissn>1873-4529</eissn><abstract>Study Objective:
To assess complications of regional as well as general anesthesia in parturients with Chiari I malformation.
Design:
Retrospective chart review
Setting:
Academic medical center
Patients:
All parturients in our institution who had the diagnosis of Chiari I malformation and delivered in our hospitals over a 50-year period.
Main Results:
12 parturients delivered 30 babies. Three deliveries were facilitated with general anesthesia. Nine deliveries were facilitated with central axis anesthesia, six with epidural anesthesia, two with a single injection of a spinal anesthetic, and one with a continuous spinal catheter. The patient who received a continuous spinal catheter developed a postdural puncture headache that resolved with an epidural blood patch. None of the patients who received general, spinal, or epidural anesthesia for their deliveries developed symptoms or had exacerbation of preexisting symptoms of Chiari I malformation.
Conclusions:
General anesthesia, as well as spinal and epidural anesthesia, appeared to be safe and effective in our series of vaginal or cesarean delivery patients. The small number of patients in our series does not negate the cautious recommendations of others, but suggests that general anesthesia, as well as spinal or epidural anesthesia, can be used safely and effectively in these patients.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>12031753</pmid><doi>10.1016/S0952-8180(02)00342-2</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of clinical anesthesia, 2002-05, Vol.14 (3), p.201-205 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Abdominal surgery. Urology. Gynecology. Obstetrics Academic Medical Centers Adolescent Adult Anesthesia Anesthesia - adverse effects Anesthesia depending on type of surgery Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthetic complications Arnold-Chiari Malformation - complications Biological and medical sciences Female Humans Medical sciences Middle Aged neurologic anomalies Parturition - physiology Pregnancy Retrospective Studies |
| title | Chiari I malformation in parturients |
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