Anaes SAQs · Obstetric anaesthesia
Anaesthesia for the pre-eclamptic patient
The pre-eclampsia SAQ — the oedematous difficult airway, the low platelet count (contra neuraxial → GA), the magnesium (potentiates NMB), the BP control, and the fluid balance.
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ANZCAFRCAABAEDAIC
Prompt
A patient with severe pre-eclampsia (blood pressure 170/110, platelets 88, on magnesium) needs a caesarean section. Discuss the anaesthetic considerations and your choice of technique.
Question
A patient with severe pre-eclampsia (blood pressure 170/110, platelets 88, on magnesium) needs a caesarean section. Discuss the anaesthetic considerations and your choice of technique.
References2ShowHide
- [1]Bamber JH, Plaat F. Beyond the numbers: obstetric anaesthesia and maternal deaths. British Journal of Anaesthesia, 2025.PMID 40089396
- [40089397]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.