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Anaesthesia General 81e1a070

Preclampsia patient at 38 weeks of gestation is started on oxytocin to augment her labor and the patient is now requesting for epidural analgesia. Anaesthetic considerations include

A
No work up is required prior to performing epidural anaesthesia, as this will treat her hypertension
B
The presence of hypertension and oedema requires further workup before proceeding.
C
Neuraxial anaesthesia should be avoided, as there is increased risk of bleeding
D
Avoid systemic opiates, as the risk of respiratory depression is too high
High-Yield Explanation
Always ensure adequate hemostasis prior to epidural anaesthesia. Platelet count less than <50000/microliter is contraindicated to neuroxial interventions due to high risk epidural hematoma.
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