UNIVERSITAS AIRLANGGA



Detail Article

Journal Of Emergency

ISSN 2301-7864

Vol. 3 / No. 1 / Published : 2014-06

Order : 6, and page :36 - 44

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Original Article :

Blood pressure and pulse rate of severe preeclampsia s receiving magnesium sulfate and undergoing cesarean section under general anesthesia

Author :

  1. Muhammad Yassir*1
  2. Sri Wahjoeningsih*2
  1. Mahasiswa Fakultas Kedokteran
  2. Dosen Fakultas Kedokteran

Abstract :

Background and Purpose. In women with severe preeclampsia, significantincreases in pulse rate and blood pressure are common after laryngoscopy and tracheal intubation of general anesthesia. There are various techniques by which this intubation-related stress response can be attenuated. Magnesium reduces the pressure response to intubation in women with pregnancy induced hypertension (PIH). Our purpose was to investigate ability magnesium to control pulse rate and blood pressure disturbances in preeclampsia patient.   Methods. We studied 18 patients with PIH, undergoing emergency cesarean section with general anesthesia. Measurement of systolic (SAP), diastolic and mean arterial pressure (MAP) and of heart rate were recorded in baseline, before induction until five minutes after induction of anesthesia and after extubation. We divide into two groups, patient has a sustained therapeutic level of magnesium (up to 6 hours) and less than 6 hours.   Result. Systolic arterial pressure increased after 5 minutes of tracheal intubation from 163 ± 25 mmHg to 168 ± 36 mmHg. MAP was from 120 ± 16 to 134 ± 22 mmHg, and heart rate increased from 103 ± 15 to 110 ± 13 beats per minute (bpm). The average in heart rate was 107 ± 10 bpm following extubation. In the study group, after administration of magnesium sulfate. There wasn’t a significant different (p > 0,005) in MAP, SAP and heart rate between therapeutic level group (≥ 6 hours) and < 6 hours, but more stable in therapeutic level group.   Conclusions. In this study, general anesthesia for cesarean delivery was associated with increased of SAP, MAP and heart rate following 5 minutes after intubation and extubation, but more stable in patient which administrated with magnesium sulfate in therapeutic level.

Keyword :

preeclampsia, pregnancy induced hypertension, general anesthesia, magnesium sulfate, cesarean section,


References :

1. Polley LS,(2009) Hypertensive Disorders. In: Chesnut DH, et al, editor. Chestnut's obstetric anesthesia. 4th Ed 975-1000 : Philadelphia: Mosby





Archive Article

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Volume : 3 / No. : 1 / Pub. : 2014-06
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  2. Effect Of Oral Pomegranate (punica Granatum) Peel Aqueous Extract On Macrophage, Fibroblast And Collagen Thickness In Burn Wound Healing
  3. The Effect Of Amnion Freeze-drying To Prevent Adhesion In Rabbit Tendon Achilles Healing
  4. The Comparation Of The Use Of Multifilament Polyglycolide And Polyglyconate (barbed Suture) In Small Intestine Anatomosis With The One Layer Continous Technique
  5. Intraperitoneal Adhesion Prevention With An Intramuscular Injection Of Diphenhydramine Perioperative
  6. Blood Pressure And Pulse Rate Of Severe Preeclampsia S Receiving Magnesium Sulfate And Undergoing Cesarean Section Under General Anesthesia
  7. Clinical And Laboratory Profiles Relationships Of Preeclampsia-eclampsia Patients With Maternal Mortality In The Dr. Soetomo Hospital Surabaya
  8. The Difference Of Internal Diameter Of The Ring On Reponible Lateral Inuinal Hernia With Incarserated Lateral Inguinal Hernia On Children

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