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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