دورية أكاديمية

Management of labor analgesia in a patient with acute myeloid leukemia.

التفاصيل البيبلوغرافية
العنوان: Management of labor analgesia in a patient with acute myeloid leukemia.
المؤلفون: Elterman KG; From the *Department of Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts; and †Hematology-Oncology, Dana Farber Cancer Institute/Brigham and Women's Hospital, Boston, Massachusetts., Meserve JR, Wadleigh M, Farber MK, Tsen LC
المصدر: A & A case reports [A A Case Rep] 2014 Oct 15; Vol. 3 (8), pp. 104-6.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health / OvidSP Country of Publication: United States NLM ID: 101637720 Publication Model: Print Cited Medium: Internet ISSN: 2325-7237 (Electronic) Linking ISSN: 23257237 NLM ISO Abbreviation: A A Case Rep Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: [New York, NY] : Wolters Kluwer Health / OvidSP
Original Publication: Philadelphia, PA : Wolters Kluwer Health / Lippincott Williams and Wilkins, 2013-
مستخلص: The anesthetic implications of acute leukemia in pregnancy have not been reported. We describe the anesthetic management of a laboring primigravida at 34 weeks' gestation with new-onset acute myeloid leukemia. With multidisciplinary consultation, we recommend that neuraxial anesthesia be avoided in new-onset acute myeloid leukemia due to the risk of introducing malignant cells into the central nervous system, which can spread the disease and complicate management. We discuss the use of a fentanyl patient-controlled analgesia and dexmedetomidine as a method of labor analgesia, and the potential benefits of the latter medication in the obstetric population.
تواريخ الأحداث: Date Created: 20150123 Date Completed: 20150210 Latest Revision: 20150123
رمز التحديث: 20240829
DOI: 10.1213/XAA.0000000000000076
PMID: 25611757
قاعدة البيانات: MEDLINE
الوصف
تدمد:2325-7237
DOI:10.1213/XAA.0000000000000076