Anesthesia & Analgesia

Skip Navigation LinksHome > September 2013 - Volume 117 - Issue 3 > Spinal Anesthesia in Severe Preeclampsia
Anesthesia & Analgesia:
doi: 10.1213/ANE.0b013e31829eeef5
Obstetric Anesthesiology: Focused Review

Spinal Anesthesia in Severe Preeclampsia

Henke, Vanessa G. MD*†; Bateman, Brian T. MD; Leffert, Lisa R. MD

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Spinal anesthesia is widely regarded as a reasonable anesthetic option for cesarean delivery in severe preeclampsia, provided there is no indwelling epidural catheter or contraindication to neuraxial anesthesia. Compared with healthy parturients, those with severe preeclampsia experience less frequent, less severe spinal-induced hypotension. In severe preeclampsia, spinal anesthesia may cause a higher incidence of hypotension than epidural anesthesia; however, this hypotension is typically easily treated and short lived and has not been linked to clinically significant differences in outcomes. In this review, we describe the advantages and limitations of spinal anesthesia in the setting of severe preeclampsia and the evidence guiding intraoperative hemodynamic management.

© 2013 International Anesthesia Research Society


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