Aim: The aim of the present study was to evaluate hemodynamic effects of regional anaesthesia in preeclampticfemales.Methods: The observational study was conducted in the Department of Anaesthesia, Anugrah Narayan MagadhMedical College and Hospital, Gaya , Bihar, India from march 2019 to February 2020. Study populationcomprised of 100 normotensive ASA grade II parturients planned for LSCS and 100 ASA grade III preeclampticparturients planned for LSCS.Results: Mean age in normotensive group was 25.35±4.36 years and in pre- eclamptic group mean age was24.16±3.07 years. The mean weight at the time of caesarean section was 72.8±6.34 kgs in the preeclamptic groupand 74.66±7.53 kgs in preeclamptic. The mean gestational age at the time of caesarean section was 39.14±0.54weeks in preeclamptic women and 39.07±0.77 weeks in normotensive. Majority of the study participants werenulliparous women in both the group (55% in normotensive group v/s 68% in pre- eclamptic group) while nearly43% of the participants in the normotensive group and 27% in pre-eclamptic group were primipara. Both groupswere comparable in term of mean age, weight, gestational age and parity comparison (p<0.05). All the nonpreeclamptic parturients were ASA II while, all parturients in the preeclamptic group were ASA III, and thisdifference was statistically significant between both groups; (p< 0.001). The incidence of hypotension in nonpreeclamptic parturients (93%) was significantly higher and that of preeclamptic parturients (15%). Similarly,bradycardia was also more commonly observed in normotensive group (32%) compared to pre-eclamptic group(2%).Conclusion: Subarachnoid blockade is associated with better perioperative hemodynamic stability and lower riskof hypotension and vasopressor requirements in preeclamptic women compared to the rates of healthy subjects.Subarachnoid block can be safely practiced in patients with preeclampsia undergoing caesarean section. Thebenefit of rapid, dense and reliable subarachnoid block over epidural anaesthesia should be considered forpreeclamptics undergoing caesarean section

Aim: The aim of the present study was to evaluate hemodynamic effects of regional anaesthesia in preeclampticfemales.Methods: The observational study was conducted in the Department of Anaesthesia, Anugrah Narayan MagadhMedical College and Hospital, Gaya , Bihar, India from march 2019 to February 2020. Study populationcomprised of 100 normotensive ASA grade II parturients planned for LSCS and 100 ASA grade III preeclampticparturients planned for LSCS.Results: Mean age in normotensive group was 25.35±4.36 years and in pre- eclamptic group mean age was24.16±3.07 years. The mean weight at the time of caesarean section was 72.8±6.34 kgs in the preeclamptic groupand 74.66±7.53 kgs in preeclamptic. The mean gestational age at the time of caesarean section was 39.14±0.54weeks in preeclamptic women and 39.07±0.77 weeks in normotensive. Majority of the study participants werenulliparous women in both the group (55% in normotensive group v/s 68% in pre- eclamptic group) while nearly43% of the participants in the normotensive group and 27% in pre-eclamptic group were primipara. Both groupswere comparable in term of mean age, weight, gestational age and parity comparison (p<0.05). All the nonpreeclamptic parturients were ASA II while, all parturients in the preeclamptic group were ASA III, and thisdifference was statistically significant between both groups; (p< 0.001). The incidence of hypotension in nonpreeclamptic parturients (93%) was significantly higher and that of preeclamptic parturients (15%). Similarly,bradycardia was also more commonly observed in normotensive group (32%) compared to pre-eclamptic group(2%).Conclusion: Subarachnoid blockade is associated with better perioperative hemodynamic stability and lower riskof hypotension and vasopressor requirements in preeclamptic women compared to the rates of healthy subjects.Subarachnoid block can be safely practiced in patients with preeclampsia undergoing caesarean section. Thebenefit of rapid, dense and reliable subarachnoid block over epidural anaesthesia should be considered forpreeclamptics undergoing caesarean section