Anesth Pain Med.  2015 Apr;10(2):77-81. 10.17085/apm.2015.10.2.77.

Anesthetic management for preeclampsia: Hemodynamic monitoring and volume therapy

• Hwang JW

• KMID: 2148038
• DOI: http://doi.org/10.17085/apm.2015.10.2.77

Abstract

Preeclampsia is a hypertensive disorder involving multiple organs during the late gestational period. It may cause maternal and fetal morbidity and mortality. Preeclampsia parturients have an increased risk of cesarean delivery for several reasons including growth retardation of the intrauterine fetus, fetal distress and termination of pregnancy for treatment of severe preeclampsia. The hemodynamic state of preeclampsia varies depending on the onset, the severity of preeclampsia and the involved organs. Spinal anesthesia is recommended for preeclampsia parturients because of its rapid onset, stable hemodynamics and fewer neurologic complications. Hypotension during spinal anesthesia occurs less in preeclampsia, as compared to healthy pregnant women. Hemodynamic monitoring and planned fluid administration are important to anesthetic management of preeclampsia parturients.

Keyword

Cesarean delivery; Preeclampsia; Spinal anesthesia

MeSH Terms

Anesthesia, Spinal
Female
Fetal Distress
Fetus
Hemodynamics*
Humans
Hypotension
Mortality
Pre-Eclampsia*
Pregnancy
Pregnant Women