Subarachnoid block in a parturient with ventriculoperitoneal shunt in situ: A case report and review

Abstract

While it is now conclusively established that subarachnoid block (SAB) for cesarean section has distinct advantages, its administration in a parturient with a ventriculoperitoneal (VP) shunt in situ has been controversial. Over the years, experience with regional anesthesia techniques for labor and operative delivery in patients with VP shunt is accumulating, and various workers have reported safe outcomes with successful administration. In the absence of clinical evidence pointing to significant risks and complications, neuraxial anesthesia may be a safe and suitable alternative alternative to general anesthesia for Cesarean delivery in parturients with VP shunt, provided due considerations are followed. The indications for SAB in a parturient with VP shunt should be based on obstetrics considerations and neurological status.