The role of labetalol and propofol in the management of HELLP syndrome--a case report.
The acronym HELLP describes a syndrome of (H) hemolysis, (EL) elevated liver enzymes, and (LP) low platelets, which symptomatically defines a unique group of preeclamptic/eclamptic women. Pregnancies complicated by this syndrome are associated with poor maternal and fetal outcome. This poses a considerable challenge to the anesthesiologists as many of these patients require emergent Cesarean section. We reported a 30-year-old woman with gestation of 32 wk who sustained Cesarean section under the impression of pregnancy with HELLP syndrome. General anesthesia was performed for this patient. The preoperative evaluation, general management, and intraoperative monitoring system were described. The individual role and use of labetalol and propofol were also discussed in this report.
Chu
Y L
YL
Department of Anesthesiology, Chang-Gung Memorial Hospital, Keelung, Taiwan, R.O.C.
Lin
S Y
SY
Lee
P C
PC
Wang
Y P
YP
Lee
L H
LH
Liu
C C
CC
D000328:Adult; D018686:Anesthetics, Intravenous / Q000494:pharmacology*; D000959:Antihypertensive Agents / Q000494:pharmacology*; D005260:Female; D017359:HELLP Syndrome / Q000503:physiopathology*; D006801:Humans; D007741:Labetalol / Q000494:pharmacology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology*; D015742:Propofol / Q000494:pharmacology*
D018686:Anesthetics, Intravenous; D000959:Antihypertensive Agents; D007741:Labetalol; D015742:Propofol