What is the miscarriage rate for abdominal surgery in obstetric patients?
3 fold increase
What is hypertension in pregnancy?
> 140/110
What is PET?
Hypertension after 20 weeks with proteinuria, organ dysfunction or uteroplacental dysfunction
What are severe features of PET?
Uncontrolled HTN on 3 agents
SpO2 <90%
Progressive organ dysfunction
Treatment of Severe PET?
Magnesium 4g/10mins then 1-2g/hr
IV labetalol 20mg PRN
IV hydralazine 10-20mg if over 80mg IV labetalol given
Delivery before 37 weeks
Drugs for PET GA C section?
Propofol 2mg/kg
Alfentanil 25 mcg/kg
Labetalol 0.25mg/kg
Suxamethonium 1.5mg/kg
Continue Mg infusion and increase rate for laryngoscopy
Sevo/Nitrous maintenance
TIVA after delivery
Fluids in PET
Maintenance 80ml/hr + replace losses