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Spinal anaesthesia in a restless eclamptic with undiagnosed second twin: case report
Jide Michael Afolayan1, Babatunde Ajayi Olofinbiyi2, Oluwadare Martins Ipinnimo2
1Department of Anaesthesia, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria.
The use of sub-arachnoid block in a restless eclamptic is not very common. Studies have demonstrated some benefits of sub-arachnoid block over general anaesthesia in stable eclamptic but its role in the management of unstable eclampsia has not been established. Reported below is an eclamptic parturient who was restless despite magnesium sulphate regimen and possesed features suggestive of difficult airway who had uneventful subarachnoid- block for caesarean section.
The use of sub-arachnoid block in a restless eclamptic is not very common. Studies have demonstrated some benefits of sub-arachnoid block over general anaesthesia in stable eclamptic but its role in the management of unstable eclampsia has not been established. Reported below is an eclamptic parturient who was restless despite magnesium sulphate regimen and possesed features suggestive of difficult airway who had uneventful subarachnoid- block for caesarean section.

