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All Journal Jurnal Pendidikan Indonesia Jurnal Ilmiah Kedokteran Wijaya Kusuma JETL (Journal Of Education, Teaching and Learning) EDUKATIF : JURNAL ILMU PENDIDIKAN Jurnal Lentera Pendidikan Pusat Penelitian LPPM UM Metro eL.Muhbib: Jurnal Pemikiran dan Penelitian Pendidikan Dasar JPDI (Jurnal Pendidikan Dasar Indonesia) Journal of Educational Review and Research IJPD (International Journal Of Public Devotion) Jurnal Pengabdian Masyarakat Indonesia Jurnal Setia Pancasila Online Learning in Educational Research JR : Jurnal Responsive Teknik Informatika Gotong Royong Jurnal Responsive Teknik Informatika Jurnal Kajian Bimbingan dan Konseling
Abd Basith, Abd
Institut Teknologi Sepuluh Nopember
Aerospace Engineering Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Education Electrical & Electronics Engineering Engineering Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Public Health Social Sciences Other

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Anesthesia Management in Patient with Eclampsia and HELLP Syndrome: A Case Report Basith, Abd; Adnan, Muhammad Luthfi
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol. 15 No. 1 (2026): March 2026
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/jikw.v15i1.4955

Abstract

Background: Eclampsia and HELLP Syndrome is one of the emergency that occurs in pregnant women and is one of the causes of death in pregnant women and fetus. It can be a challenge for an anesthesiologist for anesthetic management during and after pregnancy termination. Objective: This report presents anesthetic management using combination propofol, rocuronium, and fentanyl in cases of eclampsia with HELLP syndrome and monitoring during pregnancy termination surgery. Case Presentation: A 24-year-old female patient with a gestation age of 36 weeks came to the emergency room with seizure. During the latest antenatal care found high blood pressure (160/100 mmHg). Based physical and laboratory findings the patients diagnosed eclampsia and HELLP syndrome. The patient was given general anesthesia with induction of propofol 2 mg/kg with a rapid bolus, rocuronium 1 mg/kg IV, and fentanyl 2 mcg/kg with endotracheal intubation. During surgery, the patient was hemodynamically stable and the baby was born with an Apgar score of 9/10. The patient was admitted to the ICU for vital signs monitoring for 4 days before being discharged after the sixth day. Result: Patients with eclampsia and HELLP syndrome require careful anesthetic management because it not only impacts maternal condition, but also the outcome of the neonates. Conclusion: This condition required special treatment including by anesthesiologists. Treatment includes how to deal with seizures, the choice of anesthesia technique, prevention of seizures and intraoperative fluids management and ensuring safety for both the mother and the fetus. Lot of controversies with regard to fluid management and monitoring still remain unanswered.
Co-Authors Abidah, Abidah Adelia, Viona Adnan, Muhammad Luthfi Almawati, Sri Ananda, Liasya Putri Andi Syahputra Anriani, Putri Ardimas, Ardimas Astati, Sry Basriadi, Ali Buyung Buyung, Buyung Desy Desy, Desy Dewi Mariana, Dewi Dian Mayasari Diana Diana Eka Murdani, Eka Fatihin, Aldi Firnam, Firnam Gao Wei, Gao Ghaliah, Yasmin Hamidah Nur Harmen, Harmen Hengky Hengky, Hengky Insan Suwanto Jasnika, Inka JHELANG ANNOVASHO Kamaruddin Kamaruddin Kamaruddin Marhayani, Dina Anika Mawazid, Zidni Moseki, Usina Robert Moseki, Usinah Robert Mursidi, Andi Norma Sidik Risdianto Priyasmika, Rendy Rahman, Md Shahinoor Rahman, Md. Shahinoor Ramadhan, Waldy Ashiri Rini Setyowati, Rini Rohmad Basar, Abdul Rosmaiyadi Saro, David Slamat Fitriyadi Suci Hayati Sumarli Sumarli, Sumarli Susan Neni Triani Taslimahudin, Taslimahudin Utama, Erdi Guna Y, Aprizal