Perioperative Management of a Needle-Phobic Parturient for a Cesarean Section: A Case Report

We describe the perioperative management of a pregnant woman with severe needle phobia who underwent a cesarean section. General anesthesia with slow induction using an inhalant anesthetic for cesarean section is a rare and unique situation. Furthermore, the management of this case was more complica...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 16; no. 4; p. e59032
Main Authors Obata, Norihiko, Nakai, Eri, Makino, Shohei, Mizobuchi, Satoshi
Format Journal Article
LanguageEnglish
Published United States Springer Nature B.V 25.04.2024
Cureus
Subjects
Anesthesiology
Case reports
Cesarean section
Extubation
Fear & phobias
Fentanyl
General anesthesia
Obstetrics/Gynecology
Other
Placenta
Pregnancy complications
Umbilical cord
Ventilators
cesarean section
needle phobia
intensive care unit
perioperative management
general anesthesia
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ISSN2168-8184
2168-8184
DOI10.7759/cureus.59032

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Summary:We describe the perioperative management of a pregnant woman with severe needle phobia who underwent a cesarean section. General anesthesia with slow induction using an inhalant anesthetic for cesarean section is a rare and unique situation. Furthermore, the management of this case was more complicated because the patient not only refused the puncture procedure but also refused the presence of an indwelling object when she woke up from the anesthesia. After the operation, the patient was admitted to the intensive care unit (ICU) and received mechanical ventilation under deep sedation. The patient was managed under sedation until the day after surgery, and both mother and child progressed without perioperative complications.
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.59032