Case Report: Anesthetic Management of Cesarean Section in a Patient With Paraplegia

This case report discusses the anesthetic management of a cesarean section in a woman with paraplegia due to a T6 spinal cord injury. The patient received spinal anesthesia with a low concentration of ropivacaine and dexmedetomidine for sedation to maintain stable hemodynamics. The authors conclude that intrathecal block is a preferred choice for cesarean sections in women with paraplegia if lumbar bone structure permits puncture.

• 1
  Spinal anesthesia with low-concentration ropivacaine and dexmedetomidine can be used to achieve stable hemodynamics during cesarean section in paraplegic patients.
• 2
  Intrathecal block is a preferred anesthetic choice for cesarean section in women with paraplegia when puncture is possible.
• 3
  Dexmedetomidine can be used for effective sedation in conscious SCI parturients undergoing neuraxial anesthesia.