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Revista Brasileira de Anestesiologia

Print version ISSN 0034-7094On-line version ISSN 1806-907X

Abstract

QUEIROZ, Thiago Nobre; BISINOTTO, Flora Margarida Barra; SILVA, Thaisa Mara da Mota  and  MARTINS, Laura Bisinotto. Anesthesia for cesarean section in pregnant woman with Guillain Barré syndrome: a case report. Rev. Bras. Anestesiol. [online]. 2014, vol.64, n.5, pp.369-372. ISSN 0034-7094.  https://doi.org/10.1016/j.bjane.2013.02.006.

Background and objectives:

Guillain 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 post-operative period. The objective of this paper is to discuss the anesthetic management of a pregnant patient affected by the disease.

Case report:

Female 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.

Conclusions:

Although 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.

Keywords : General anesthesia; Pregnancy; Diseases; Neuromuscular relaxant; Guillain Barré.

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