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Anaesthetic management of a quadriplegic patient with severe respiratory insufficiency undergoing Caesarean section
Authors:A. B. Ahmed  BM  BS  DCH  Registrar   D. G. Bogod  MB  BS  FRCA  Consultant
Affiliation:Department of Anaesthesia, Nottingham City Hospital NHS Trust, Hucknall Road, Nottingham NG5 1PB.
Abstract:The anaesthetic management of a 30-year-old pregnant quadriplegic patient with severe respiratory insufficiency undergoing Caesarean section is described. Quadriplegia and respiratory insufficiency pose potential problems for anaesthetists and these are discussed. In particular autonomic hyperreflexia may occur and this may be mistaken for pre-eclampsia.
Keywords:Anaesthesia    obstetric    Complications    quadriplegia, respiratory insufficiency
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