Anaesthetic Management of a Parturient With Non Hodgkin Lymphoma

Abstract

Pregnancy is associated with both anatomical and physiological changes in the body, especially in cardiovascular and respiratory systems. Patients with mediastinal non-Hodgkin lymphomas are recognized to be at risk for cardiorespiratory compromise perioperatively. Here we report the anesthetic management of a 28-year-old parturient primi with 38weeks gestation came to ER with leaking per vaginum posted for emergency caesarean section. She is a known case of non-Hodgkin's lymphoma diagnosed at 3 years of age and had a relapse at 12 years for which treated with chemotherapy. Challenges in conduct of anesthesia such as systemic effects of chemotherapeutic drugs, possibility of undiagnosed mediastinal mass and relapse of the disease and concerns pertaining to emergency cesarean section were assessed and anesthesia technique is tailored according to the above-mentioned concerns.