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ANESTHESIA MANAGEMENT IN SEVERE PRE-ECLAMPSIA WITH IMPENDING ECLAMPSIA: A CASE REPORT

Lalenoh, Diana Christine and Lalenoh, Hermanus J. and Bisri, Tatang (2012) ANESTHESIA MANAGEMENT IN SEVERE PRE-ECLAMPSIA WITH IMPENDING ECLAMPSIA: A CASE REPORT. 2ND ANNUAL SYMPOSIUM ON ANESTHESIA COMPLICATIONS.

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        Abstract

        Background Preeclampsia is syndrome specific to pregnancy, diagnosed clinically by new onset of hypertension and proteinuria after 20 weeks gestation. Pre-eclampsia complicates 2-7% of pregnancies in developed countries and is a leading cause of maternal deaths. Associated maternal mortality is 1.5 per 100 000 live births in the USA. Objective The objective of this case report is to understand anesthesia management in pre-eclamptic -impending eclampsia, underwent cesarean section. Case Report We hereby present the anesthetic management of a patient with severe-preeclampsia impending eclampsia. A female 26 year old, primigravida, 85kgs body weight, 155cm of height, with 37-38 weeks gestation age, was admitted to our hospital with severe preeclampsia impending eclampsia, because of severe headache, scheduled for caesarean section. The induction were with propofol and fentanyl titration, muscle relaxant facilitation was Rocuronium 50 mg, intubation with Endotracheal Tube no.7, maintenance with Oxygen:N20 (3:3), and lsoflurane. Mter 2 hours, thesurgery procedure was ended. The patient was transferred to leD. Discussion Pre-eclamptic patient generally require extra caution during anesthesia; they require stabilization prior to any anesthetic. Hypertension should be controlled and hypovolemia corrected before anesthesia. Anesthetic approach must consider the following issues: perieoperative risk assessment, the specific pre-eclampsia manifestation and complication being treated and basic knowledge of pathophysiology in pre-eclamptic, an awareness of potential airway difficulties, anesthetic choices, intraoperative medical management decision-making (hemodynamic goals, pulmonary fimction), and postoperative airway concerns and pain management. Conclusions I Moreover, general anesthesia have a good outcome in severe-impending eclamptic patient underwent cesarean section.

        Item Type: Article
        Subjects: R Medicine > R Medicine (General)
        Divisions: Fakultas Kedokteran > Fakultas Kedokteran Umum
        Depositing User: Mr. Benhard W. Tampangela, ST
        Date Deposited: 18 May 2015 11:35
        Last Modified: 23 Sep 2015 14:07
        URI: http://repo.unsrat.ac.id/id/eprint/809

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