Anesthesia for a patient with HELLP syndrome

T. Shima, K. Andoh, K. Hoshi, Y. Koga, N. Iwatsuki, Y. Hashimoto

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Abstract

A case of 30 year-old female with HELLP syndrome, who had undergone emergency caesarean section under general anesthesia, was reported. HELLP syndrome is characterized by hemolysis, liver dysfunction and thrombocytopenia, besides symptoms of severe toxemia of pregnancy. After an awake orotracheal intubation, anesthesia was maintained with nitrous oxide, oxygen and muscle relaxant. Blood pressure was controlled with intravenous administration of nitroglycerine. Though the eclampsia was recognized several times during and after the operation, the patient and her baby had no complication nor sequela on their discharge. The key in the anesthetic management of caesarean section in a patient with HELLP syndrome is to control hypertension and eclampsia, to consider the presence of liver and kidney dysfunctions, and to improve anemia and bleeding tendency.

Original languageEnglish
Pages (from-to)1633-1637
Number of pages5
JournalJapanese Journal of Anesthesiology
Volume38
Issue number12
Publication statusPublished - 1989 Dec 1

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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    Shima, T., Andoh, K., Hoshi, K., Koga, Y., Iwatsuki, N., & Hashimoto, Y. (1989). Anesthesia for a patient with HELLP syndrome. Japanese Journal of Anesthesiology, 38(12), 1633-1637.