{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:10:26Z","timestamp":1756365026013,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,17]]},"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p>Pregnancy in patients with spinal cord injury presents unique challenges to their care teams. While spinal cord injury alters the function of several organ systems, one of the most important consequences is autonomic dysreflexia. Anaesthesia providers must be familiar with the pathophysiology and management of gravid patients with spinal cord injury to manage their deliveries successfully. A multidisciplinary team is essential; close collaboration between the obstetrical and anaesthesiology teams is crucial. The authors will present a case of a successful caesarean delivery in a woman with a T5 injury as well as a recent epidural abscess using general endotracheal anaesthesia.<\/jats:p>","DOI":"10.1136\/bcr-2020-240307","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T12:41:49Z","timestamp":1617885709000},"page":"e240307","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Caesarean delivery in T5 paraplegic following extended ICU stay in second trimester with absolute contraindication to neuraxial blocks"],"prefix":"10.1136","volume":"14","author":[{"given":"Felix","family":"Granovskiy","sequence":"first","affiliation":[{"name":"The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Greenwood","sequence":"additional","affiliation":[{"name":"Anesthesiology and Critical Care Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Jackson","sequence":"additional","affiliation":[{"name":"Anesthesiology and Critical Care Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,4,8]]},"reference":[{"key":"2025082723334614000_14.4.e240307.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)02261-5"},{"key":"2025082723334614000_14.4.e240307.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.OGX.0000086419.94466.76"},{"key":"2025082723334614000_14.4.e240307.3","first-page":"161","article-title":"Autonomic dysreflexia in a parturient with spinal cord injury","volume":"57","author":"Osgood","year":"2006","journal-title":"Acta Anaesthesiol Belg"},{"key":"2025082723334614000_14.4.e240307.4","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2013-202479","article-title":"Successful pregnancy in a woman with paraplegia","volume":"2014","author":"Castro","year":"2014","journal-title":"BMJ Case Rep"},{"key":"2025082723334614000_14.4.e240307.5","article-title":"Pregnancy after spinal cord injury","volume":"63","author":"McCunniff","year":"1984","journal-title":"Obstet Gynecol"},{"key":"2025082723334614000_14.4.e240307.6","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/S1047-9651(18)30090-1","article-title":"Gynecologic and reproductive issues in women with spinal cord injury","volume":"12","author":"Burns","year":"2001","journal-title":"Phys Med Rehabil Clin N Am"},{"key":"2025082723334614000_14.4.e240307.7","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199202000-00005"},{"key":"2025082723334614000_14.4.e240307.8","unstructured":"Wein AJ . Neuromuscular dysfunction of the lower urinary tract and its treatment. Saunder, 1998: 953\u20131006."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-240307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:33:53Z","timestamp":1756362833000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-240307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":8,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,4,8]]},"published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1136\/bcr-2020-240307"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-240307","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}