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Journal of Obstrectic Anaesthesia and Critical Care
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CASE REPORT
Year : 2012  |  Volume : 2  |  Issue : 1  |  Page : 40-43

Anesthetic management of a parturient with Guillain-Barre syndrome posted for emergency caesarian section


Department of Anaesthesiology and Pain Medicine, Medica Superspecailty Hospitals, 127 Mukundapur, E M Bypass, Kolkata-West Bengal, India

Correspondence Address:
Abhijit Paul
Medica Superspecailty Hospitals, 127 Mukundapur, E M Bypass, Kolkata-700099, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2249-4472.99321

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We report the anesthetic management of a case of Guillain-Barre syndrome in the 34 th week of gestation coming for an emergency Cesarean section. The perioperative anesthetic challenges have been discussed with emphasis on the medical and anesthetic management which includes the use of plasma-pheresis, intravenous gamma-globulin, and the safety of preservative free 0.75% isobaric ropivacaine, which was administered intrathecally in this difficult medical condition with excellent hemodynamic, maternal, and fetal outcome. The sensory and motor blocks achieved were well suited to the clinical risks and conditions.


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