International journal of obstetric anesthesia
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Int J Obstet Anesth · Feb 2019
Multicenter StudyAnesthetic management of parturients with Arnold Chiari malformation-I: a multicenter retrospective study.
Consensus regarding the safest mode of delivery and anesthetic management for parturients with Arnold Chiari malformation-I (ACM-I) remains controversial. This study assessed their anesthetic management and reported anesthetic complications during hospitalization for delivery. ⋯ The findings suggest that anesthetic complications occur infrequently in patients with ACM-I regardless of the anesthetic management. Although institutional preference in anesthetic and obstetric care appears to drive patient management, the findings suggest that an individualized approach has favorable outcomes in this population.