Anesthetic management for preeclampsia: Hemodynamic monitoring and volume therapy

Hwang, Jung Won

doi:2015.10.2.77

Anesth Pain Med > Volume 10(2); 2015 > Article

Review

Obstetric Anesthesia

Anesthesia and Pain Medicine 2015;10(2):77-81.
DOI: https://doi.org/10.17085/apm.2015.10.2.77 Published online April 30, 2015.

Anesthetic management for preeclampsia: Hemodynamic monitoring and volume therapy

Jung Won Hwang

Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. jungwon@snubh.org

Received: 24 February 2015 • Revised: 24 February 2015 • Accepted: 28 February 2015

Abstract

Preeclampsia is a hypertensive disorder involving multiple organs during the late gestational period. It may cause maternal and fetal morbidity and mortality. Preeclampsia parturients have an increased risk of cesarean delivery for several reasons including growth retardation of the intrauterine fetus, fetal distress and termination of pregnancy for treatment of severe preeclampsia. The hemodynamic state of preeclampsia varies depending on the onset, the severity of preeclampsia and the involved organs. Spinal anesthesia is recommended for preeclampsia parturients because of its rapid onset, stable hemodynamics and fewer neurologic complications. Hypotension during spinal anesthesia occurs less in preeclampsia, as compared to healthy pregnant women. Hemodynamic monitoring and planned fluid administration are important to anesthetic management of preeclampsia parturients.

Key Words: Cesarean delivery, Preeclampsia, Spinal anesthesia