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ANAESTHESIA: PREGNANCY, OPERATIVE DELIVERY

  • General anaesthesia in eclamptic patient, may cause huge rise in blood pressure at intubation
  • Prevent with bolus of 2–3 G magnesium sulphate before intubation
  • If mother and child are both critically ill, it is your clear duty to attend to the mother first
  • Place pillow under right hip to tilt uterus to avoid supine hypotension (reduce pressure on inferior vena cava)
  • Don’t be so concerned about the baby that the mother receives insufficient dose of anaesthetic
  • At conclusion of anaesthesia:
      - remember the mother has full stomach
      - remove endotracheal tube with her in lateral position
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