Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2013.02.006
Brazilian Journal of Anesthesiology
Clinical Information

Anesthesia for cesarean section in pregnant woman with Guillain Barré syndrome: a case report

Anestesia para cesariana em gestante com síndrome de Guillain Barré: relato de caso

Thiago Nobre Queiroz; Flora Margarida Barra Bisinotto; Thaisa Mara da Mota Silva; Laura Bisinotto Martins

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Abstract

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

Resumo

Justificativa e objetivos:A síndrome de Guillain Barré (SGB) é uma doença neurológica autoimune que se caracteriza por uma polirradiculoneurite desmielinizante aguda ou subaguda. É um evento incomum durante a gravidez e um desafio para o anestesiologista pela possibilidade de comprometimento da função neuromuscular e de complicações respiratórias no pós-operatório. O objetivo deste trabalho é discutir o manejo anestésico da paciente gestante afetada pela doença.Relato de caso:Paciente do sexo feminino com 30 anos, gestante de 38 semanas, com diagnóstico de óbito fetal havia um dia e SGB. Foi submetida à cesariana sob anestesia geral, evoluindo sem intercorrências no perioperatório.Conclusões:Apesar de ser incomum, a SGB pode acometer gestantes e o anestesiologista pode se deparar com esse tipo de paciente na sua prática diária. É importante compreender as peculiaridades da SGB para se abordar adequadamente a paciente no perioperatório, contribuindo para a sua melhor evolução.

Palavras-chave

Anestesia geral, Gestação, Doenças, Relaxante neuromuscular, Guillain Barré

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