Anestesia para cesariana em gestante com síndrome de Guillain Barré: relato de caso |
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Authors: | Thiago Nobre Queiroz Flora Margarida Barra Bisinotto Thaisa Mara da Mota Silva Laura Bisinotto Martins |
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Affiliation: | 1. Programa de Residência Médica em Anestesiologia, Hospital das Clínicas, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil;2. Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil;3. Programa de Residência Médica em Oftalmologia, Hospital das Clínicas da Universidade Federal de Uberlândia, Uberlândia, MG, Brasil;4. Universidade de Ribeirão Preto, Ribeirão Preto, SP, Brasil |
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Abstract: | Background and objectivesGuillain Barré syndrome (GBS) is an autoimmune neurological disease characterized by an acute or subacute demyelinating polyradiculoneuritis. It is an unusual event during pregnancy and a challenge for the anesthesiologist, due to the possibility of impairment of neuromuscular function and occurrence of respiratory complications in the postoperative period. The objective of this paper is to discuss the anesthetic management of a pregnant patient affected by the disease.Case reportFemale patient, 30 years old, 38 weeks’ pregnant, diagnosed with fetal death that occurred about a day, and with SGB. Cesarean section was performed under general anesthesia, progressing without complications perioperatively.ConclusionsAlthough it is uncommon, GBS can affect pregnant women and the anesthesiologist may encounter such patients in his (her) daily practice. It is important to understand the peculiarities of GBS to adequately address the patient in the perioperative period, contributing to its better evolution. |
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Keywords: | Anestesia geral Gestaç ã o Doenç as Relaxante neuromuscular Guillain Barré |
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