Salman Waris, Muhammad Yousuf, Rana Altaf Ahmed, Muhammad Shahid.
An experience of Spinal Anesthesia versus General Anesthesia in severe Pre-Eclamptic patients undergoing lower segment Cesarean Section.
J Surg Pak Nov ;7(2):25-7.

This randomized study compared spinal versus general anaesthesia in 200 patients undergoing lower segment Caesarean section (LSCS) in pre-ecalmptics patients as regards hemodynamic stability, recovery, post-operative morbidity and mortality. Hundred patients in each group were given spinal and general anaesthesia. In general anaesthesia group even after proper anaesthetic doses, the rise during laryngoscopy was seen in 63% of the patients, delayed recovery in 26% cases, nausea and vomiting in 15% cases, difficult itubation in 12% cases and postoperative mortality was 10%. In spinal anaesthesia group, hypotension less than 100mmHg was observed in 9% patients and less than 60mmHg in 2% of the patients. Technical failure to perform the block was encountred in 2% of the patients. The morbidity and mortality was quite low with spinal as compared with general anaestheisa. We found that the spinal anaesthesia was rather safe, cost effective and results are satisfactory but needs more expertise.

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