Anesthesia Management for Emergency Cesarean Section in Patient with Severe Preeclampsia and Controlled Hyperthyroidism: A Case Report

Benny Supono | I Gede Agus Shuarsedana Putra

Abstract: Introduction: One of the sequalae of hyperthyroidism in pregnancy is preeclampsia. Severe preeclampsia may require termination by emergency cesarean section. In some cases, the euthyroid state cannot be achieved before the surgery. Thus, specific anesthetic management must be considered in patient with hyperthyroidism state. Case: A 32-year-old pregnant patient with severe preeclampsia and controlled hyperthyroidism came to the Obstetrics and Gynecology Emergency Ward with a complaint of decreased fetal movement. In our patient, emergency cesarean section was performed under spinal anesthesia using 10 mg of Bupivacaine. The operation went successfully without any complications for the mother and baby. Conclusion: Spinal anesthesia can be used for the management of anesthesia in patients with preeclampsia and hyperthyroidism

Keywords: Preeclampsia, Hyperthyroidism, Spinal anasthesia

Edition: Volume 10 Issue 3, March 2021,

Pages: 1076 - 1078