Regional cerebral oxygen saturation guided cerebral protection in a parturient with Takayasu's arteritis undergoing cesarean section: a case report

J Clin Anesth. 2016 Sep:33:168-72. doi: 10.1016/j.jclinane.2016.02.036. Epub 2016 Apr 29.

Abstract

The objective of this case report is to present the successful use of regional cerebral oxygen saturation (rScO2) monitoring guided cerebral protection for cesarean delivery in a parturient with Takayasu's arteritis at 38weeks' gestation. The parturient presented with impaired cerebral and renal perfusion. Titrated epidural anesthesia was performed. During the procedure, we used rScO2 guided cerebral protection strategies, which helped to optimize cerebral oxygen delivery and prevent cerebral complications.

Keywords: Anesthesia; Cesarean section; Parturient; Regional cerebral oxygen saturation; Takayasu's arteritis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain Diseases / diagnostic imaging
  • Brain Diseases / prevention & control
  • Cerebrovascular Circulation
  • Cesarean Section*
  • Female
  • Humans
  • Oxygen / blood*
  • Oxygen Inhalation Therapy
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / blood*
  • Takayasu Arteritis / blood*
  • Takayasu Arteritis / complications*
  • Treatment Outcome
  • Ultrasonography, Doppler, Transcranial

Substances

  • Oxygen