Anestesia Subaracnoidea para Cesariana em Paciente com Derivação Ventriculoperitoneal. Relato de Caso * Subarachnoid Blockade for Cesarean Section in a Patient with Ventriculoperitoneal Shunt. Case Report

SUMMARY Goulart AP, Moro ET, Rios RP, Pires RTF – Subarachnoid Blockade forCesarean Section in a Patient with Ventriculoperitoneal Shunt. CaseReport. BACKGROUND AND OBJECTIVES: Patients with ventriculo-peritoneal shunt (VPS) represent an additional concern when neu-roaxis block is indicated, especially in obstetrics. Currently, aconsensus on the anesthetic technique of choice in those casesdoes not exist in the literature. The objective of this report was todescribe the case of a cesarean section under subarachnoidblockade in a patient with VPS. CASE REPORT: This is a 28 years old pregnant patient at term,in her second pregnancy, one prior delivery, a cesarean sectionseven years ago, no history of miscarriages, and pre-natal carewithout intercurrences, in labor for five hours. The patient evolvedwith acute fetal distress and an emergency cesarean section wasindicated. She had had a VPS for five years due to intracranial hy-pertension (sic) of unknown etiology. Neurological exam was normal.She underwent subarachnoid block with 15 mg of 0.5% hyperbaricbupivacaine and 80 µg of morphine. The newborn had an Apgar of8 (in the first minute) and 10 (in the 5