Anesthetic Management of the Parturient with Increased Intracranial Pressure Disorders

Author

Madeline OlsonFollow

Date of Award

Spring 5-2024

Document Type

DNP Project

Project Team Faculty Member

Whitney Heischmidt

Keywords

Intracranial Pressure, Chiari Malformation I, Pseudotumor cerebri, Mass-occupying lesion, Vaginal Delivery, Cesarean Delivery

Abstract

The parturient experiences various physiologic changes that contribute to the potential for increased intracranial pressure (ICP). Patients with preexisting neurologic conditions such as Chiari Malformation I, pseudotumor cerebri, and mass occupying lesions are at significant risk of increased ICP. A literature review was conducted to determine the safest labor anesthesia options for the parturient with increased intracranial pressure. After the literature review, a PowerPoint presentation and reference guide were given to a group of anesthesia providers at a central Illinois hospital that discussed the evidence-based recommendations. A voluntary survey was completed after the presentation to assess an improvement in knowledge and staff willingness to use a reference tool to decide the safest anesthesia labor option. The survey showed improved knowledge of the anesthesia options for the parturient with increased ICP and willingness among providers to use the reference guide to determine the most appropriate and safest anesthesia option. The overall acceptance of this project promotes safe care for the mother and fetus while potentially reducing morbidity and mortality in a unique population.

Recommended Citation

Olson, Madeline, "Anesthetic Management of the Parturient with Increased Intracranial Pressure Disorders" (2024). Doctor of Nursing Practice Projects. 313.
https://spark.siue.edu/dnpprojects/313

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