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. 2014 Jan 25;2014(1):CD010108. doi: 10.1002/14651858.CD010108.pub2
Methods Regional anaesthesia versus general anaesthesia
Participants 70 preeclamptic pregnant women undergoing emergent caesarean section for non‐reassuring fetal heart rate (< 100 or > 150 bpm; absent variability (< five bpm) of 60 minutes' duration; repetitive decelerations) Magnesium sulfate 4 G IV followed by 1 G/h IV
Interventions Spinal anaesthesia (n = 35): 1.8 mL of hyperbaric 0.5% bupivacaine with 10 mcg of fentanyl at L3‐L4
General anaesthesia (n = 35): thiopental 5 mg/kg, nitrous oxide, isoflurane and succinylcholine drip. intravenous magnesium sulfate for control of the pressor response to tracheal intubation
Outcomes Mortality (fetal)
Notes Fetal loss is included in this overview. There was an undiagnosed abruptio placentae, and haemodynamic reaction to laryngoscopy may aggravate this condition