• Anesthesia and analgesia · Sep 2013

    Review

    Focused review: spinal anesthesia in severe preeclampsia.

    • Brian T Bateman, Lisa R Leffert, and Vanessa G Henke.
    • UCLA Department of Anesthesiology, Ronald Reagan UCLA Medical Center, 757 Westwood Plaza, Suite 3325, Los Angeles, CA 90095-7403. vanessagiselle@gmail.co.
    • Anesth. Analg.. 2013 Sep 1;117(3):686-93.

    AbstractSpinal anesthesia is widely regarded as a reasonable anesthetic option for cesarean delivery in severe preeclampsia, provided there is no indwelling epidural catheter or contraindication to neuraxial anesthesia. Compared with healthy parturients, those with severe preeclampsia experience less frequent, less severe spinal-induced hypotension. In severe preeclampsia, spinal anesthesia may cause a higher incidence of hypotension than epidural anesthesia; however, this hypotension is typically easily treated and short lived and has not been linked to clinically significant differences in outcomes. In this review, we describe the advantages and limitations of spinal anesthesia in the setting of severe preeclampsia and the evidence guiding intraoperative hemodynamic management.

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