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A Randomized Comparative Study of Spinal Anaesthesia versus General Anaesthesia for LSCS Patients with Severe Preeclampsia and Eclampsia

Manjiri Deshpande, Associate Professor, Dept. of Anaesthesia, Dr VM Govt. Medical College, Solapur, Maharashtra 413003, India. , Shamsundar G. Giri1 , Manjiri Deshpande2 , Pushpa Agrawal3

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Indian Journal of Anesthesia and Analgesia 5(9):p 1522-1529, September 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5918.15

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Abstract

Background: It has been several controversies about technique of choice for cesarean section in severe preeclampsia and eclampsia patients for several years. Though earlier general anesthesia was routinely used for giving anesthesia in such patients, in last 10 years the picture has changed. Now, spinal anesthesia is an anesthetic choice for patient with preeclampsia unless it is contraindicated because of hypocoagulation. It was therefore decided to compare the hemodynamics of severely preeclamptic and eclamptic patients undergoing general or spinal of anesthesia.

Material: We have studied 60 patients with severe preeclampsia and Eclampsia posted for emergency and elective caesarean section. All patients were divided randomly into two groups equally. All patients under the study underwent thorough pre-anaesthetic assessment including detailed case history, clinical examination and necessary investigations. All intraoperative and postoperative untoward complications will be recorded and treated.

Result:There was statistically significant at all readings where group II were significantly more tachycardic compared to group I patients except preoperative readings for pulse rate, SBP, DBP, and MAP.

Conclusion: We conclude that, severe preeclampsia and eclampsia patients undergoing spinal anesthesia, experience more hemodynamic instability (in the face of hypotension) than general group, but these changes are not severe, are transient, in the acceptable range and not influence the neonatal outcome. So, spinal anesthesia may be an appropriate anesthetic choice for woman with severe preeclampsia and stable eclampsia patients having cesarean delivery.


 

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5918.15

Keywords

Eclampsia; Pre-Eclampsia; Cesarean Section; Neonatal.

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