Background:
@EN Adequate evaluation and monitoring for pre-eclamptic paturient and capable assistance before induction for anesthesiologist, must be taken to avoid sudden severe maternal hypertension with intubation during a Rapid Sequence intravenous
induction.
Such event predispose the paturient to intracranial hemorrhage and pulmonary hypertension with pulmoanry edema. To diminish danger of hypertension that can be developed during general anesthesia and facilitate control of blood pressure, 24 women
presenting for cesarean section were studied.
@ES Methods:
@EN All received 17.9±2.6ml of 0.5% bupivacaine, including 3ml of test dose, through the epidural catheter inserted in T12-L1 inerspace using 18 gauge Tuohy needle to the patients with a lateral dccubitus position. We measured blood pressure and
heart
rate in 5, 10, 15, 20, 30, 45, and 60 minutes after injection of 0.5% bupivacaine and 15 minutes after transferred to recovery room.
@ES Results:
@EN The blood pressure of the patients started to decrease in 5 minutes and most decreased in 20 minutes after injection, he heart rate had little change but decreased significantly in 45 minutes. Apgar Scores of the neonates at 1 and 5 minutes
were
7.3±2.0 and 9.2±1.5. The patients used ephedrine and crystalloid solution for correction of hypotension were 6 of 24 women and had no any systemic toxicity or neurologic symptoms by local anesthetics(bupivacaine).
@ES Conclusions:
@EN Continuous epidural anesthesia for cesarean section in preeclamptic patients is recommended for safe anesthesia. (Korean J Anesthesiol 1996; 30: 493~497)
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