A Successful Cesarean Section Following HELLP Syndrome : a Case Report

Vichitvejpaisal P.,M.D.,Visolyaputra S.,M.D.,Yok-ubol B.,M.D.

Lertwinyu S.,M.D.

Department of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700

  A 28-year-old patient with pregnancy of 33 week gestation developed HELLP syndrome and required urgent delivery by Cesarean section. Before operation,a central venous catheter and urinary catheter were inserted,automated blood pressure,EKG and pulse oximetry were monitored,and platelets were administered to correct severe thrombocytopenia. Blood pressure was controlled with intravenous administration of hydralazine. A general anesthesia with rapid sequence induction and cricoid pressure was performed. The patient had no complications nor sequelae on her discharge. The liver function returned toward normal within 1 week after the surgical procedure. The low birth weight baby was cared in neonatal intensive care unit for 2 months.