Articles
5 August 2025
Vol. 3 No. 1 (2025)
Regional anesthesia for urgent upper limb surgery in a pregnant woman with HIV: a case-based insight into multidisciplinary and drug-sparing management
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Anesthetic management in pregnant women requiring urgent non-obstetric surgery is particularly challenging in the presence of comorbidities such as HIV and obesity. This report outlines the perioperative approach adopted for a 26-year-old woman at 23 weeks of gestation with AIDS and an elevated body mass index (BMI) undergoing orthopedic surgery following elbow trauma. A supraclavicular brachial plexus block was successfully used for intraoperative anesthesia and postoperative analgesia, thus avoiding systemic medications and minimizing fetal exposure. This case exemplifies how regional anesthesia, combined with coordinated multidisciplinary care, can offer safe and effective management in high-risk pregnancies. Findings support the growing literature favoring individualized, minimally invasive anesthetic strategies, especially in immunocompromised patients.
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Citations
1. Mhyre JM, Shilkrut A, Kuklina EV, et al. Anesthesia and maternal mortality in the United States: changes over the last decade. Anesthesiology 2011;114:958-65.
2. Ransden R, Leffert L. Regional anesthesia in obstetrics: an update. Curr Opin Anaesthesiol 2019;32:283-9.
3. Tascón Padrón L, Emrich NLA, Schröder C, et al. Ultrasound-guided intercostal block for the management of intercostal neuralgia in pregnant women: Case series and review of the literature. Int J Gynaecol Obstet 2025. DOI: https://doi.org/10.1002/ijgo.70049
4. Hood DD, Dewan DM. Anesthetic and obstetric outcomes in obese parturients. Anesthesiology 1993;79:1210-8. DOI: https://doi.org/10.1097/00000542-199312000-00011
5. Kuczkowski KM. Anesthesia for the pregnant HIV-positive patient: a review. Obstet Gynecol Surv 2004;59:629-35.
6. Van de Velde M, Teunkens A. Regional anesthesia for non-obstetric surgery during pregnancy. Curr Opin Anaesthesiol 2019;32:297-303.
7. Bauer ME, Bernstein K, Dinges E, et al. Obstetric anesthesia management of COVID-19 positive patients. Anesth Analg 2020;131:7-15. DOI: https://doi.org/10.1213/ANE.0000000000004856
8. WAPM Working Group on COVID-19. Maternal and perinatal outcomes of pregnant women with SARS-CoV-2 infection. Ultrasound Obstet Gynecol 2021;57:232-41. DOI: https://doi.org/10.1002/uog.23107
9. Coviello A, Iacovazzo C, Cirillo D, et al. Dexamethasone versus Dexmedetomidine as Adjuvants in Ultrasound Popliteal Sciatic Nerve Block for Hallux Valgus Surgery: A Mono-Centric Retrospective Comparative Study. Drug Des Devel Ther 2024;18:1231-45. DOI: https://doi.org/10.2147/DDDT.S442808
10. Santonastaso DP, de Chiara A, Addis A, et al. Ultrasound guided erector spinae plane block for post-operative pain control after caesarean section. J Clin Anesth 2019;58:45-6. DOI: https://doi.org/10.1016/j.jclinane.2019.05.009
How to Cite
Regional anesthesia for urgent upper limb surgery in a pregnant woman with HIV: a case-based insight into multidisciplinary and drug-sparing management. (2025). Advances in Anesthesia and Pain Medicine, 3(1). https://doi.org/10.4081/aapm.48.
Copyright (c) 2025 the Author(s)
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