# Perioperative Management of a Needle-Phobic Parturient for a Cesarean Section: A Case Report

## TL;DR

This case report details the unique anesthetic approach for a pregnant woman with severe fear of needles undergoing a cesarean section.

## Contribution

The paper presents a rare case of general anesthesia without needles for a cesarean section in a needle-phobic patient.

## Key findings

- General anesthesia with inhalant induction was successfully used for a cesarean section in a needle-phobic patient.
- The patient required ICU admission and deep sedation post-surgery due to refusal of indwelling objects.
- Both mother and child had no complications during the perioperative period.

## Abstract

We describe the perioperative management of a pregnant woman with severe needle phobia who underwent a cesarean section. General anesthesia with slow induction using an inhalant anesthetic for cesarean section is a rare and unique situation. Furthermore, the management of this case was more complicated because the patient not only refused the puncture procedure but also refused the presence of an indwelling object when she woke up from the anesthesia. After the operation, the patient was admitted to the intensive care unit (ICU) and received mechanical ventilation under deep sedation. The patient was managed under sedation until the day after surgery, and both mother and child progressed without perioperative complications.