Question

henke vg, bateman bt, leffert lr. focused review: spinal anesthesia in severe pre-eclampsia. anesth analg. 2013 sep;117(3):686-93.

Answer 1

A form of neuraxial anesthesia known as spinal anesthesia involves injecting local anesthetic (LA) into the cerebrospinal fluid (CSF) of the lumbar spine in order to numb the nerves that leave the spinal cord.

What does the study indicate?

• As long as there is no indwelling epidural catheter or neuraxial anesthesia contraindication, spinal anesthesia is generally regarded as a reasonable anesthetic choice for cesarean delivery in severe preeclampsia.
• Those with severe preeclampsia experience spinal-induced hypotension less frequently and with less severity than healthy parturients.
• Although spinal anesthetic may result in more hypotension than epidural anesthesia in cases of severe preeclampsia, this hypotension is often manageable, transient, and unrelated to clinically meaningful differences in outcomes.

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