Study of Spinal Anaesthesia in Stable Eclampsia Patients
Aparna Gundeshwar Kulkarni1, Ganesh K. Nikam1, Sachin Ramesh Totawar2
1Assistant Professor 2Associate Professor, Department of Anaesthesiology, Swami Ramanand Teerth Rural Medical College, Ambajogai, Dist. Beed, Maharashtra 431517, India.
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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. Materialand 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.
Corresponding Author : Ganesh K. Nikam, Assistant Professor, Department of Anaesthesiology, Swami Ramanand Teerth Rural Medical College, Ambajogai, Dist. Beed, Maharashtra 431517, India.