Atif Hanif Chaudhary.
Spinal Anesthesia in Preeclamptic Parturients.
Pak J Med Health Sci Jan ;6(3):653-6.

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.

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