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[Anesthesia in three women with HELLP syndrome].
Masui. 2007 Jul; 56(7):838-41.M

Abstract

Three pregnant women with diagnosis of HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets), received emergency cesarean section in our hospital. Considering low platelet counts, in all three patients, operations were performed under general anesthesia using sevoflurane without epidural or spinal anesthesia. Special attention was paid to management of blood pressure, especially intra-operative hypertension. Moreover, if necessary, platelet and fresh frozen plasma were transfused, and therapy to prevent disseminated intravascular coagulation (DIC) and to protect liver and renal function, was performed perioperatively. As a result, laboratory data of all three patients recovered to almost within normal ranges after operation, and they were discharged without untoward complications. HELLP syndrome is a severe complication of pregnancy. Complications of this syndrome were severe including acute renal failure, DIC, pulmonary edema, cerebral hemorrhage and liver rupture. It is reported that maternal mortality is 2-24%. In the management of pregnant women complicated with HELLP syndrome, early diagnosis and adequate therapy, including preventive therapy for complications, are necessary.

Authors+Show Affiliations

Division of Anesthesia, Shizuoka Red Cross Hospital, Shizuoka.No affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

17633849

Citation

Suzuki, Takeshi, and Toru Kaneda. "[Anesthesia in Three Women With HELLP Syndrome]." Masui. the Japanese Journal of Anesthesiology, vol. 56, no. 7, 2007, pp. 838-41.
Suzuki T, Kaneda T. [Anesthesia in three women with HELLP syndrome]. Masui. 2007;56(7):838-41.
Suzuki, T., & Kaneda, T. (2007). [Anesthesia in three women with HELLP syndrome]. Masui. the Japanese Journal of Anesthesiology, 56(7), 838-41.
Suzuki T, Kaneda T. [Anesthesia in Three Women With HELLP Syndrome]. Masui. 2007;56(7):838-41. PubMed PMID: 17633849.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Anesthesia in three women with HELLP syndrome]. AU - Suzuki,Takeshi, AU - Kaneda,Toru, PY - 2007/7/20/pubmed PY - 2007/8/19/medline PY - 2007/7/20/entrez SP - 838 EP - 41 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 56 IS - 7 N2 - Three pregnant women with diagnosis of HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets), received emergency cesarean section in our hospital. Considering low platelet counts, in all three patients, operations were performed under general anesthesia using sevoflurane without epidural or spinal anesthesia. Special attention was paid to management of blood pressure, especially intra-operative hypertension. Moreover, if necessary, platelet and fresh frozen plasma were transfused, and therapy to prevent disseminated intravascular coagulation (DIC) and to protect liver and renal function, was performed perioperatively. As a result, laboratory data of all three patients recovered to almost within normal ranges after operation, and they were discharged without untoward complications. HELLP syndrome is a severe complication of pregnancy. Complications of this syndrome were severe including acute renal failure, DIC, pulmonary edema, cerebral hemorrhage and liver rupture. It is reported that maternal mortality is 2-24%. In the management of pregnant women complicated with HELLP syndrome, early diagnosis and adequate therapy, including preventive therapy for complications, are necessary. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/17633849/[Anesthesia_in_three_women_with_HELLP_syndrome]_ L2 - http://www.diseaseinfosearch.org/result/3266 DB - PRIME DP - Unbound Medicine ER -