Spinal Anesthesia in Preeclamptic Parturients
نویسنده
چکیده
In this prospective cohort study, we compared the incidence and severity of spinal anesthesia (SA) associated hypotension in preeclamptics (n=25) versus healthy parturients (n=25) undergoing cesarean delivery. After proper preloading, SA was administered with 0.75% hyperbaric bupivacaine. Blood pressure (BP) was recorded before performing SA (baseline BP), and then after SA, every 2 minutes for 30 minutes, and thereafter, every 5 minutes up to completion of surgery. The preeclamptic patients had a less frequent incidence of clinically significant hypotension, which was less severe and required less ephedrine. The risk of hypotension was significantly less in preeclamptic patients than that in healthy patients. Spinal anesthesia seemed to be a useful and safe option, and alternative to epidural anesthesia, in preeclamptic patients in setting of large patient turn up for cesarean deliveries.
منابع مشابه
MINIDOSE BUPIVACAINE – FENTANYL SPINAL ANESTHESIA FOR CESAREAN SECTION IN PREECLAMPTIC PARTURIENTS
ABSTRACT Background: Spinal anesthesia for cesarean section is associated with a high incidence of hypotension. The synergism between intrathecal opioids and local anesthetics may make it possible to achieve reliable spinal anesthesia with minimal hypotension using a minidose of local anesthetic. Methods: Forty-four preeclamptic parturients undergoing cesarean section were randomized in two gr...
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BACKGROUND Despite controversies about the safest anesthetic technique for cesarean delivery in severely preeclamptic women, there is evidence that supports the use of spinal anesthesia in this group of patients. OBJECTIVES This prospective randomized clinical trial was designed to determine the hemodynamic effects of low-dose spinal bupivacaine and the incidence of spinal anesthesia-associat...
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Efficacy of epidural and spinal anesthesia techniques in preeclampsia parturients
Background: Preeclampsia is a hypertensive related complication of pregnancy; Parturients with pregnancy induced hypertension may present to the labor and delivery unit with or without a prior diagnosis of preeclampsia and may pose a significant anesthetic challenge. Administration of anesthesia in such cases leads to worse cardiovascular response. Objectives: To determine the efficacy of epidu...
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BACKGROUND AND OBJECTIVES The use of reduced intrathecal doses is advised for spinal anesthesia during cesarean delivery. However, there are inadequate data regarding the minimum effective dose of intrathecal bupivacaine for cesarean delivery. Preeclampsia is caused by an endothelial dysfunction leading to generalized vasoconstriction. Whether this can offset the pregnancy-induced decrease in i...
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