Review Note
Last Update: 03/27/2025 09:46 PM
Current Deck: ACG Part 2::Obstetrics
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Commit #309773
SS_OB 1.35 Discuss the pathophysiology and anaesthetic management of the following medical conditions particular to pregnancy:
- Eclampsia
- Eclampsia
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Commit #309773Pathophysiology as for PET above.
Management:
A: Left lateral position + jaw thrust
B: BMV + measure O2 sats
C: Obtain IV access, measure BP as able, avoid aortocaval compression
D: Control fits with MgSO4 - load 4g IV over 5-15mins, then 1g/hr for 24hrs. If recurrent seizures further 2-4g bolus.
- Target plasma Mg2+ concentration 2-4mmol/L
- If magnesium toxicity (>5mmol/L (loss of reflexes), reduced RR 6-7mmol/L, cardiac arrest >12mmol/L
- Treat with IV calcium (10ml 10% calcium chloride or calcium gluconate)
- If eclampsia before delivery and fetal distress - consider urgent delivery once fit controlled. If no fetal distress - eclampsia is NOT an indication for urgent delivery, better once stabilized with magnesium.
- Continue care in HDU/ICU