Abstract
The role of anaesthetist for anaesthetic management for preeclamsia is very crucial. Anaesthetist's responsibility starts before the surgery at the moment of stabilizing patient's hemodynamic status and guiding to an obstetrician about administration of antihypertensives and seizure prophylaxis. The anaesthetic problems in these may be due to the effects on the cardiovascular, respiratory, neurologic, renal, haematologic, hepatic and uteroplacental systems. Labetolol, hydralazine, diazoxide and nifedipine is considered as the most common used drugs. Magnesium sulphate is the most effective agent for seizure prophylaxis. Platelet transfusion threshold is determined as 50000/mm3 in acutely bleeding patient. Cerebral haemorrhage remains the commonest cause of death in this group and hence rapid and effective treatment of hypertension to prevent haemorrhagic stroke is needed in these patients. As aetiology is largely unknown, preventative measures and screening tools are lacking and management is directed at the control of clinical manifestations. Delivery remains the only denitive treatment.
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