Spinal anaesthesia in a restless eclamptic with undiagnosed second twin: case report

Afolayan, Jide Michael; Olofinbiyi, Babatunde Ajayi; Ipinnimo, Oluwadare Martins

doi:10.11604/pamj.2015.20.111.5012

Cited by 1 publication

(1 citation statement)

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“…There are controversies surrounding the appropriate anaesthetic technique for preeclamptic and eclamptic parturients. Safety of spinal anaesthesia was studied by Razzaque et al and Afolayan et al and they concluded that spinal anaesthesia is safer than general anaesthesia for eclamptic women who are conscious (23,24). This finding is in concordance with our findings as mortality was more in general anaesthesia (47%) as compared to in subarachnoid block (SAB) (1.8%).…”

Section: Discussionsupporting

confidence: 91%

Pattern and outcome of Anaesthesia techniques in patients presenting with pre-eclampsia/eclampsia for caesarean section in a Teaching Hospital

Fatungase,

Olateju,

Emmanuel

et al. 2023

REJHS

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Objectives: To review the pattern of anaesthesia techniques among pregnant women with pre-eclampsia or eclampsia who had caesarean section in our health facility and their management outcomeMethods: A retrospective analysis was undertaken for all the obstetric patients with pre-eclampsia or eclampsia who had caesarean sections under different types of anaesthesia in a tertiary hospital between January 1st 2014 and December 31st 2018.Results: A total of one hundred and eighty-two patients who presented with pre-eclampsia and eclampsia had emergency caesarean sections. Of these, 134 (74%) were diagnosed pre-eclampsia and 48 (26%) had eclampsia. The mean age was 29.71±6.40years. Subarachnoid block was performed in 165 (90.66 %), 15 (8.24 %) had general anaesthesia relaxant technique, and the remaining two (1.10 %) had local anaesthetic infiltration ± total intravenous anaesthesia. Peri-operative anaesthetic complications encountered included post-anaesthetic shivering 19 (10.44%), hypotension 16 (8.79 %) and nausea 1 (0.55 %). Incidence of death on table was six percent (11 patients). Among those that died, the anaesthesia technique was general anaesthesia in eight cases (73%) while three patients (27%) had subarachnoid blocks.Conclusion: Spinal anaesthesia was the most commonly used anaesthesia technique in this centre for patients with pre-eclampsia and conscious eclamptic patients, and it proved to be a relatively safe technique with few mortality.

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Section: Discussionsupporting

confidence: 91%