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[Anesthesia for a patient with HELLP syndrome].
Masui. 1989 Dec; 38(12):1633-7.M

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 nitroglycerin. 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.

Authors

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Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

2614890

Citation

Shima, T, et al. "[Anesthesia for a Patient With HELLP Syndrome]." Masui. the Japanese Journal of Anesthesiology, vol. 38, no. 12, 1989, pp. 1633-7.
Shima T, Andoh K, Hoshi K, et al. [Anesthesia for a patient with HELLP syndrome]. Masui. 1989;38(12):1633-7.
Shima, T., Andoh, K., Hoshi, K., Koya, Y., Iwatsuki, N., & Hashimoto, Y. (1989). [Anesthesia for a patient with HELLP syndrome]. Masui. the Japanese Journal of Anesthesiology, 38(12), 1633-7.
Shima T, et al. [Anesthesia for a Patient With HELLP Syndrome]. Masui. 1989;38(12):1633-7. PubMed PMID: 2614890.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Anesthesia for a patient with HELLP syndrome]. AU - Shima,T, AU - Andoh,K, AU - Hoshi,K, AU - Koya,Y, AU - Iwatsuki,N, AU - Hashimoto,Y, PY - 1989/12/1/pubmed PY - 1989/12/1/medline PY - 1989/12/1/entrez SP - 1633 EP - 7 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 38 IS - 12 N2 - 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 nitroglycerin. 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. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/2614890/[Anesthesia_for_a_patient_with_HELLP_syndrome]_ L2 - https://www.medicalonline.jp/meteo_linkout.php?issn=0021-4892&volume=38&issue=12&spage=1633 DB - PRIME DP - Unbound Medicine ER -