Anesthesia & Clinical Research
Open Access

Yuya Sato

Publications

• Case Report
  Anesthetic Management of A Patient who Underwent Emergent Cesarean Section after Sudden Disturbance of Consciousness Caused by Disseminated Intravascular Coagulation due to Severe Urine Infection and Septic Shock
  Author(s): Yuya Sato, Shinsuke Hamaguchi, Yuki Numata, Makoto Komatsuzaki and Yusuke Yamashita Yuya Sato, Shinsuke Hamaguchi, Yuki Numata, Makoto Komatsuzaki and Yusuke Yamashita
  
  A 29-year-old woman with a history of lower back pain presented at 38 weeks of normal gestation with sudden headache and progressive disturbance of consciousness. Laboratory findings suggested severe infection, and detailed examination was necessary to determine the cause. However, the fetal heart rate suddenly decreased to <60 bpm. Therefore, emergent caesarian section was performed. Because of hypersomnia and fetal bradycardia, we decided to perform surgery under general anesthesia, which was induced with 5 mg/kg thiamylal and 0.8 mg/kg rocuronium in rapid sequence. Oxygen–nitrous oxide inhalation was used for maintenance of anesthesia until delivery. The infant’s Apgar score was 2/5/6. Immediately after delivery, we administered 30 mg pentazocine and 5 mg diazepam. However, this triggered a sudden drop in the patient’s blood pressure. Phenylephrine and dopamine.. View More»
  DOI: 10.4172/2155-6148.1000613

  Abstract PDF

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