Anesthetic practices for patients with preeclampsia or HELLP syndrome: A survey
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Original Investigation
P: 128-133
September 2016

Anesthetic practices for patients with preeclampsia or HELLP syndrome: A survey

J Turk Ger Gynecol Assoc 2016;17(3):128-133
1. Department Of Anesthesiology, Konya Training And Research Hospital, Konya, Turkey
2. Department Of Anesthesiology, Hacettepe University School Of Medicine, Ankara, Turkey
3. Department Of Obstetrics And Gynecology, Konya Training And Research Hospital, Konya, Turkey
4. Department Of Anesthesiology, Ankara Gazi Mustafa Kemal State Hospital, Ankara, Turkey
5. Department Of Obstetrics And Gynecology, The University Of Mississippi Medical Center, Jackson, Usa
No information available.
No information available
Received Date: 09.05.2016
Accepted Date: 20.07.2016
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ABSTRACT

Conclusion:

A preferential trend toward general anesthesia for patients with preeclampsia or HELLP syndrome exists among anesthesiologists in Turkey, particularly for patients with severe thrombocytopenia and/or eclampsia. There exists a need for well-designed and well-executed prospective clinical trials to provide evidence for the best consensus practice.

Results:

Of 339 surveys distributed, 288 were returned (84.9% response rate). Among the returned surveys, the completion rate was 96.1%. The job experience in years among clinicians and residents was 9±5 and 3±1, respectively. General anesthesia was still significantly preferred by 36.1% among patients with preeclampsia with platelet counts of ≥100,000/µL. Compared to obstetricians–gynecologists, anesthesiologists more often preferred general anesthesia. With platelet counts of <50,000/µL or eclampsia, most respondents preferred general anesthesia 94.4% for very low platelets and 89.5% for eclampsia.

Material and Methods:

Questionnaires were distributed to attendees at a national conference, and they were filled out immediately. Anonymous 10-item paper surveys were administered to both residents and non-residents. Descriptive statistics were used in the analysis. Agreement among ≥75% of the respondents was considered a majority opinion. Surveys with missing responses were used to analyze the non-response bias. The Chi-square test was used for comparisons. A historical cohort of obstetricians–gynecologists was used for comparison with anesthesiologists.

Objective:

Substantial controversy exists regarding anesthetic management for patients with preeclampsia or hemolysis, elevated liver enzymes, low platelet count (HELLP) syndrome. Experts, researchers, clinicians, and residents in Turkey were surveyed about their practices.