Preeclampsia
Pronunciation: pree-ih-KLAMP-see-ah
A pregnancy complication characterized by high blood pressure and often protein in the urine, affecting anesthetic management.
Full Definition
Preeclampsia is a multisystem disorder of pregnancy typically occurring after 20 weeks of gestation, characterized by new-onset hypertension and proteinuria, or hypertension with other end-organ dysfunction. This condition significantly impacts obstetric anesthetic management due to potential complications including cerebral edema, coagulopathy, hepatic dysfunction, and increased risk of seizures (eclampsia). Anesthetic considerations include careful blood pressure control, assessment of airway edema, coagulation status evaluation, and modified drug dosing. The condition may progress to HELLP syndrome or eclampsia, requiring emergency intervention.
Usage
Usage note: Distinguish from eclampsia (with seizures) and gestational hypertension (without proteinuria or end-organ damage).
In Context
- "The patient with severe preeclampsia required magnesium sulfate therapy and careful blood pressure monitoring." — Anesthesia care plan
- "Preeclampsia contraindications were evaluated before proceeding with neuraxial anesthesia." — Pre-anesthetic assessment