Experience with Laryngeal Mask and Propofol in Preeclampsia during Cesarean Section.
10.4097/kjae.1993.26.3.459
- Author:
Il Ok LEE
1
;
Young Chul PARK
;
Sang Ho LIM
;
Suk Min YOON
;
Nan Suk KIM
;
Young Suk CHOI
Author Information
1. Department of Anesthesiology, Korea University College of Medicine, Seoul, Korea.
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Preeclampsia;
Propofol;
Laryngeal mask
- MeSH:
Anesthesia;
Anesthesia, General;
Blood Pressure;
Cesarean Section*;
Female;
Humans;
Intubation;
Intubation, Intratracheal;
Laryngeal Masks*;
Pre-Eclampsia*;
Pregnancy;
Propofol*;
Reflex;
Thiopental
- From:Korean Journal of Anesthesiology
1993;26(3):459-464
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Forty patients with preeclampsia, undergoing general anesthesia for Cesarean section were studied. They were allocated randomly to receive either propofol 2.5 mg/kg and laryngeal mask insertion or thiopental sodium 4 mg/kg and endotracheal intubation for induction of anesthesia. All patients receiving thiopental sodium and tracheal intubation showed potentially dangerous reflex cardiovascular instability. There was a average 48.7 mmHg increase in systolic blood pressure after intubation. The patients receiving propofol and laryngeal mask insertion showed only 10.7 mmHg increase in systolic blood pressure. It is concluded that thiopental sodium induction and traeheal intubation of patients with preecalmpsia produces an increase in blood pressure which can lead to a risk of significant complication. Thus propofol induction and laryngeal mask seems to be a suitable anesthetic method in preeclampsia.
