Actualización sobre el manejo anestésico en la paciente con preeclampsia: Una revisión narrativa

José Luis  Coral Revelo; Eliana  Leyton – Luna; Dallham Jisella  Peña  Carvajal; Carolina Andrea  Ibarra  Rojano; Diego Esteban  Revelo  Ceballos; Javier Alfonso  Ramírez Vergara; Catalina  Arroyave –Silva; Angelly  Solarte – Encarnación

doi:10.35563/rmp.v14i1.630

Update on anesthetic management in the patient with preeclampsia: A narrative review

Authors

José Luis Coral Revelo Hospital Universitario San José, Popayán - Colombia https://orcid.org/0009-0002-2031-2653
Eliana Leyton – Luna Hospital Susana López de Valencia, Popayán - Colombia https://orcid.org/0009-0006-7913-378X
Dallham Jisella Peña Carvajal Universidad del Cauca, Popayan - Colombia https://orcid.org/0009-0006-2337-6467
Carolina Andrea Ibarra Rojano , Universidad Simón Bolívar, Barranquilla - Colombia https://orcid.org/0009-0000-2610-4199
Diego Esteban Revelo Ceballos Hospital Universitario San Jorge, Pereira - Colombia https://orcid.org/0009-0000-0546-4101
Javier Alfonso Ramírez Vergara Universidad de Sucre, Sincelejo-Colombia https://orcid.org/0009-0001-8660-0490
Catalina Arroyave –Silva IPS Cardioprevent, Cali - Colombia https://orcid.org/0009-0003-6891-9937
Angelly Solarte – Encarnación Clínica Imbanaco, Cali, - Colombia https://orcid.org/0009-0002-2219-0055

DOI:

https://doi.org/10.35563/rmp.v14i1.630

Keywords:

pre-eclampsia, anesthesia, perioperative medicine, obstetrics, hypertension pregnancy-induced

Abstract

Introduction: Preeclampsia is a hypertensive disorder of pregnancy with high risk of maternal-fetal morbidity and mortality. Its anesthetic management is key to optimize perioperative safety. Methodology: A narrative review was performed in databases such as PubMed, EMBASE and Cochrane Library, without time restriction, using DeCS/MeSH terms: Pre-Eclampsia, Anesthesia, Perioperative Medicine, Obstetrics, Hypertension, Pregnancy-Induced. Results: Regional anesthesia is the first choice in cesarean section due to its hemodynamic stability and lower neonatal impact. General anesthesia is reserved for cases of coagulopathy or neurological compromise, with greater risk of perioperative hypertension. Invasive monitoring, adequate use of vasopressors and multimodal analgesia are fundamental in intraoperative and postoperative management. Conclusion: A personalized anesthetic approach based on the pathophysiology of preeclampsia improves maternal-fetal outcomes. Optimization of anesthetic strategies and development of new technologies will contribute to improve safety in this population.

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Published

2025-05-23

Issue

Vol. 14 No. 1 (2025): January - March

Section

REVIEW ARTICLE

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Copyright (c) 2025 Coral – Revelo José Luis, Leyton – Luna Eliana, Peña – Carvajal Dallham Jisella , Ibarra – Rojano Carolina Andrea, Diego Esteban Revelo – Ceballos, Ramírez – Vergara Javier Alfonso , Arroyave –Silva Catalina, Solarte – Encarnación Angelly

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How to Cite

Update on anesthetic management in the patient with preeclampsia: A narrative review. (2025). Revista Médica Panacea, 14(1), 27-35. https://doi.org/10.35563/rmp.v14i1.630

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