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Indian Journal of Anesthesia and Analgesia

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Study of Spinal Anaesthesia in Stable Eclampsia Patients

Ganesh K. Nikam, Assistant Professor, Department of Anaesthesiology, Swami Ramanand Teerth Rural Medical College, Ambajogai, Dist. Beed, Maharashtra 431517, India. , Aparna Gundeshwar Kulkarni1 , Ganesh K. Nikam1 , Sachin Ramesh Totawar2

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Indian Journal of Anesthesia and Analgesia 4(4):p 1095-1098, October-December 2017. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4417.28

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Abstract

Introduction: Anaesthesia for caesarean section in patients with eclampsia has always been a task of challenge. Regional anaesthesia has gained popularity in management of such cases in last few years as it avoids the problems associated with general anaesthesia. The present study aims at studying the effects of spinal anaesthesia in stable eclampsia patients. Material and Methods: Fifty pregnant patients with history of eclampsia without any complications posted for emergency caesarean section were included in the study. All of them received spinal anaesthesia with injection Bupivaciaine (0.5% heavy) 1.8 ml and 25 mcg fentanyl. All the patients were studied with respect to any hemodynamic variations intra-operatively, episodes of convulsions, need for conversion to general anaesthesia and any post operative complications. Results: Only five patients had episodes of hypotension intra-operatively and one patient had post-operative convulsion. None of them had any significant postoperative complication or need for ICU admission. Conclusion: Spinal anaesthesia can be safely used in patients with stable eclampsia for caesarean section.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4417.28

Keywords

Caesarean Section; Stable Eclampsia; Spinal Anaesthesia. 

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