ArticleCureus2026
Anesthetic Considerations in a High-Risk Pregnant Patient With Myelomeningocele and Urosepsis Undergoing Emergent Surgery: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The patient was a pregnant 30-year-old gravida 6, para 0 (G6P0) woman at 22 weeks and four days (22w4d) with myelomeningocele and neurogenic bladder who presented with progressive pain, fevers, chills, and transaminitis concerning for urosepsis requiring emergent cystolithalopaxy. Preoperative evaluation identified marked lower-extremity weakness. Anesthetic considerations included the safety of neuraxial anesthesia and concerns regarding neuromuscular blockade and reversal. Neuraxial anesthesia was avoided due to myelomeningocele, and succinylcholine was avoided due to concern for hyperkalemia. Rocuronium was used, with sugammadex administration for neuromuscular blockade reversal following consultation with obstetrics. The case proceeded uneventfully.
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