Anesthesia Management in an Eclampsia Patient
International Blood Research & Reviews · pp. 29–38 · Published 21 Aug 2024
10.9734/ibrr/2024/v15i3342Abstract
Eclampsia is always considered as a very serious complication of pregnancy which is responsible for numerous maternal and perinatal mortality in global setting. Eclampsia is characterized by seizures in a pregnant or postpartum patient as a result of hypertension. It is an escalation of preeclampsia, which is characterized by high blood pressure associated with pregnancy and is usually accompanied by protein in the urine. This report a case of eclampsia diagnosed in a pregnant woman which underwent anaesthesia management prior to section caesarea. Role of an anesthesiologist in this case is basically to help the obstetrician in charge to prepare the patient for safe operation and prevent any complication. The case is being reported to improve awareness regarding this life threatening entity in women. Case Presentation: A 27 years old (G2P0A1) patient at 36 weeks of gestation, referred to our ER with a history seizure, reduced consciousness with a bitten tongue and gestational hypertension. Her vital signs: NIBP 185/115 mmHg, HR: 90 beats/minute, RR 38x/minute, SpO2 96-97% on NRM 10 lpm. The patient has been infusion with a 5% Dextrose + 6 g MgSO4 (2 g IV + 4 g drip) and a 100 ml Dower Catheter from the regional general hospital. Working diagnosis when admitted to our hospital was 36 weeks of pregnancy G2P0A1 with severe eclampsia and gestational hypertension. Physical and laboratory examinations showed that the lungs showed smooth wet rhonchi (+/+), then on the extremities there were bilateral leg edema with hemoglobin of 10.8 g/dL, hematocrit 33.9%, platelet count was 85.000/mm3, and proteinuria +2. The clinico-pathologic features were consistent with the diagnosis of eclampsia. The patient was planned for Sectio Caesaria (SC) Cito with general anesthesia. After 7 minutes incision, the baby was born with an APGAR ssore 6/9. The operation procedure took 40 minutes. After surgery the patient transferred to ICU room, connect to ventilator, infusion of MgSO4 was continued, hemodynamic improvement, awareness, extubated, and then discharge from ICU because the anticipated medical complications did not arise and the patient has been deemed fit for step down care.
References (49)
- 1 Two new Later Stone Age sites from the Final Pleistocene in the Falémé Valley, eastern Senegal [DOI]
- 2 Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy [DOI]
- 3 Pre-eclampsia part 1: current understanding of its pathophysiology [DOI]
- 4 A Critical Review of Early-Onset and Late-Onset Preeclampsia [DOI]
- 5 Hypertensive Disorders in Pregnancy and Mortality at Delivery Hospitalization — United States, 2017–2019 [DOI]
- 6 A global analysis of the determinants of maternal health and transitions in maternal mortality [DOI]
- 7 Screening for Preeclampsia [DOI]
- 8 Postpartum preeclampsia or eclampsia: defining its place and management among the hypertensive disorders of pregnancy [DOI]
- 9 Proteinuria during pregnancy: definition, pathophysiology, methodology, and clinical significance [DOI]
- 10 Prevalence of Hypertension Among Pregnant Women When Using the 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines and Association With Maternal and Fetal Outcomes [DOI]
- 11 The emerging role of endothelin-1 in the pathogenesis of pre-eclampsia [DOI]
- 12 Endothelial dysfunction. An important mediator in the pathophysiology of hypertension during pre-eclampsia.
- 13 Preeclampsia pathophysiology and adverse outcomes during pregnancy and postpartum [DOI]
- 14 Recent advances in the diagnosis and management of pre-eclampsia [DOI]
- 15 Neurology of Preeclampsia and Related Disorders: an Update in Neuro-obstetrics [DOI]
- 16 Preeclampsia from a renal point of view: Insides into disease models, biomarkers and therapy [DOI]
- 17 Preeclampsia and Increased Permeability Over the Blood–Brain Barrier: A Role of Vascular Endothelial Growth Receptor 2 [DOI]
- 18 Renin Angiotensin Signaling in Normal Pregnancy and Preeclampsia [DOI]
- 19 Cesarean delivery fluid management [DOI]
- 20 SEIZURES IN WOMEN WITH PREECLAMPSIA: MECHANISMS AND MANAGEMENT [DOI]
- 21 Progesterone for preventing pre-eclampsia and its complications [DOI]
- 22 Cerebral autoregulation in different hypertensive disorders of pregnancy [DOI]
- 23 Postpartum haemorhage associated with caesarean section and caesarean hysterectomy [DOI]
- 24 Pre-eclampsia is associated with altered expression of the renal sodium transporters NKCC2, NCC and ENaC in urinary extracellular vesicles [DOI]
- 25 Fluid loading therapy to prevent spinal hypotension in women undergoing elective caesarean section [DOI]
- 26 Anesthetic management of a patient presenting with eclampsia [DOI]
- 27 Body fluid volume homeostasis is abnormal in pregnancies complicated with hypertension and/or poor fetal growth [DOI]
- 28 Severe hypertension in pregnancy [DOI]
- 29 Preeclampsia and Related Problems [DOI]
- 30 Perioperative management of surgical procedure during pregnancy: a systematic review [DOI]
- 31 Blood Pressure and Vasoactive Hormones in Mild Preeclampsia and Normal Pregnancy [DOI]
- 32 28. The massive problem of preeclampsia in indonesia: In need of a redesigned national health care system [DOI]
- 33 Endotracheal Tube Intubation Techniques
- 34 Membrane Lesions and Reduced Life Span of Red Blood Cells in Preeclampsia as Evidenced by Atomic Force Microscopy [DOI]
- 35 Cerebral hemodynamics and vasoconstriction in preeclampsia: From diagnosis to resolution [DOI]
- 36 Magnesium sulfate reduces postoperative pain in women with cesarean section: A meta‐analysis of randomized controlled trials [DOI]
- 37 Maternal Perinatal Characteristics in Patients with Severe Preeclampsia: A Case-Control Nested Cohort Study [DOI]
- 38 Prostacyclin and Thromboxane Levels in Women with Severe Preeclampsia Undergoing Magnesium Sulfate Therapy During Antepartum and Postpartum Periods [DOI]
- 39 Thrombocytopenia in pregnancy [DOI]
- 40 Analgesic and Sedative Effects of Different Doses of Dexmedetomidine Combined with Butorphanol in Continuous Analgesia after a Cesarean Section [DOI]
- 41 The Relevance of Hypertension and Oedema in Pregnancy [DOI]
- 42 Evaluation of Puerperal and Postpartum Infections after Cesarean Section and Their Clinical Outcomes [DOI]
- 43 Visual complaints in pregnancy: (pre)eclampsia as a chameleon [DOI]
- 44 Increased platelet thromboxane A2/prostaglandin H2 receptors in patients with pregnancy induced hypertension [DOI]
- 45 Abortion in women with severe preeclampsia and eclampsia prior to 24 weeks gestation [DOI]
- 46 Hypertension due to a deoxycorticosterone-secreting adrenal tumour diagnosed during pregnancy [DOI]
- 47 Eclampsia and posterior reversible encephalopathy syndrome (PRES): A retrospective review of risk factors and outcomes [DOI]
- 48 Eclampsia and Pre-Eclampsia [DOI]
- 49 Prostaglandin A for treating pre-eclampsia [DOI]
Cited by 1
Gusriani Gusriani, Nur Indah Noviyanti, Wahida Wahida · JURNAL INFO KESEHATAN · 2025
Related research
- Assessment of Anxiety in Healthcare Providers Working in ICU during COVID-19 Pandemics — shares topic coverage
- The Magnitude and Risk Factors of Acute Respiratory Distress Syndrome among Newborn Admitted To Neonatal Intensive Care Unit at Benghazi Medical Center — shares topic coverage
- Antibiotic Resistance Patterns of Bacterial Isolates in Adult Intensive Care Unit at Nizwa Hospital, Oman — shares topic coverage
- Knowledge of Nurses, Attitudes and Practices Related to Blood Transfusion at the Neonatal and Pediatric Intensive Care Unit at University Hospital Mohammed VI Marrakech Morocco — shares topic coverage
- Impact of Sensory Stimulation on Perception and Performance among the Comatose: A Pilot Study — shares topic coverage
Article metrics
Real usage data collected on this platform.
38
Page views
0
PDF downloads
16
Outbound clicks
1
Citations
Views over time
Views by country
Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".
Traffic sources
Referring site, by host.
Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.