DOI: https://doi.org/10.14710/jai.v0i0.62541

Anesthetic Challenges and Management in Cesarean Section for a Patient with Post Laminectomy and Inferior Stabilization: A Case Report

1Faculty of Medicine, Tarumanagara University, Jl. Letjen S. Parman No.1, RT.6/RW.16, Tomang, Kec. Grogol petamburan, Kota Jakarta Barat, Daerah Khusus Ibukota Jakarta 11440, Indonesia

2RSD K.R.M.T Wongsonegoro, Semarang, Indonesia, Jl. Fatmawati No.1, Mangunharjo, Kec. Tembalang, Semarang, Indonesia, Indonesia

Received: 8 Mar 2024; Revised: 3 May 2024; Accepted: 28 May 2024; Available online: 9 Jul 2024.

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Abstract
Background: Deciding the choice of anesthetic challenges and management for a cesarean section is a relatively complex procedure. In this case report we examine a patient undergoing cesarean section who has a significant history of laminectomy with inferior stabilization, the complexities of the patient's conditions may influenced the choice of anesthetic strategy.

Case: A 29-year-old female patient undergoing a cesarean section with a complex medical history, including two previous cesarean sections and a laminectomy with inferior stabilization, presenting unique challenges in obstetric and anaesthetic care. The patient was admitted to KMRT Wongsonegoro Hospital, Semarang, at 40 weeks of gestation, with symptoms of intense abdominal tightening, active fetal movement, and bloody mucus. Her medical history was further complicated by a laminectomy with inferior stabilization performed in 2019.

Discussion: The case report delves into the intricacies of managing a cesarean section under general anaesthesia in a patient with a history of spinal surgery. It underscores the importance of individualized anaesthetic approaches, considering the patient's spinal history and the potential complexities of previous surgeries. The discussion emphasizes the necessity of a multidisciplinary approach involving obstetricians, anesthesiologists, and spine surgeons for optimal patient outcomes. It also highlights the critical role of comprehensive preoperative evaluations, meticulous intraoperative management, and diligent postoperative care.

Conclusion: In this case report we can reaffirm that this case contributes to the medical community's understanding of managing cesarean sections in patients with previous spinal surgeries and underscores the need for evolving clinical guidelines and practices in obstetric anaesthesia to enhance patient care and safety. The case is a valuable addition to the literature, providing insights for healthcare professionals in similar complex scenarios.

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Keywords: anesthesia; caesarean section; general anesthesia; inferior stabilization; laminectomy

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Section: Case Reports
Language : EN
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