Pre-Eclampsia

Anaesthesia techniques:
MAINTAIN NORMOXIA, NORMOCARBIA
Regional: ↓ fetal drug exposure (spinal, CSE)
less
blood loss, airway simplified,
tocolysis more complicated, better
analgesia, ↓ DVT risk
General:
Total control, simple tocolysis
Sevoflurane produces dose-dependent depression of uterine muscle
contractility. At concentrations of 3.5 MAC and above, uterine activity was
virtually abolished.
Dr. Marc Coppens
Anaesthesia & Gestation:
Non-viable fetus: Follow general principles.
Assess coagulopathy, uterine rupture
1 st Trimester: Avoid surgery if possible.
Assess fetal viability and status.
Nausea, vomiting common.
After 6-8 weeks, pregnancy physiology is
well established.
Dr. Marc Coppens
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