title: Spinal anesthesia for lower segment Cesarean section in patients with stable eclampsia.
abstract: OBJECTIVE
  To report the use of spinal anesthesia in stable eclamptic patients.
  
  
  METHODS
  Prospective case series.
  
  
  METHODS
  Emergency operating room of a metropolitan hospital.
  
  
  METHODS
  12 "stable" eclamptic parturients.
  
  
  METHODS
  Subarachnoid block was instituted with hyperbaric 0.5% bupivacaine 1.7 mL with fentanyl 25 μg.
  
  
  METHODS
  Intraoperative maternal hypotension, episodes of convulsion, the need to convert to general anesthesia, and Apgar scores at 1 and 5 minutes were recorded.
  
  
  RESULTS
  Only one of the 12 parturients had an episode of hypotension (treated by intravenous ephedrine), while no patient had a convulsion over the 48 hours after delivery. The sensory level achieved was T₅-T₆ and none of the cases was converted to general anesthesia. Median Apgar scores at 1 and 5 minutes were 8 and 9, respectively.
  
  
  CONCLUSIONS
  Spinal anesthesia avoided the known risks of general anesthesia and was not associated with any major complications.
authors.affiliation: Department of Anaesthesiology and Critical Care, Lady Hardinge Medical College and Shrimati Sucheta Kriplani Hospital, New Delhi 110001, India.
authors.forename: Ranju
authors.initials: R
authors.lastname: Singh
authors.forename: Nishant
authors.initials: N
authors.lastname: Kumar
authors.forename: Aruna
authors.initials: A
authors.lastname: Jain
authors.forename: Madhurima
authors.initials: M
authors.lastname: Chakraborty
mesh_terms: D000328:Adult; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D001034:Apgar Score; D002585:Cesarean Section; D004461:Eclampsia / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011446:Prospective Studies