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[Anesthesia for a patient with HELLP syndrome]
H Takahashi1, T Satoh, H Sakio
1Second Department of Anesthesiology, Dokkyo University School of Medicine, Tochigi.
A 43-year-old female with HELLP syndrome underwent an emergency caesarean section under general anesthesia. Anesthesia was induced by fentanyl and thiopental with oxygen inhalation. Bolus injection of nicardipine was used to treat hypertensive crisis during operation. Continuous intravenous infusion of prostaglandin E1 was started after delivery to normalize arterial blood pressure. After surgery, both the patient and her baby were discharged uneventfully. It is suggested that a suitable dosage of fentanyl is effective without causing serious side effects for neonate. Prostaglandin E1 may have cytoprotective action in vital organs, such as the liver and the kidney, and may stabilize the arterial blood pressure.
A 43-year-old female with HELLP syndrome underwent an emergency caesarean section under general anesthesia. Anesthesia was induced by fentanyl and thiopental with oxygen inhalation. Bolus injection of nicardipine was used to treat hypertensive crisis during operation. Continuous intravenous infusion of prostaglandin E1 was started after delivery to normalize arterial blood pressure. After surgery, both the patient and her baby were discharged uneventfully. It is suggested that a suitable dosage of fentanyl is effective without causing serious side effects for neonate. Prostaglandin E1 may have cytoprotective action in vital organs, such as the liver and the kidney, and may stabilize the arterial blood pressure.