ArticleCureus2024
Treatment of Severe Preeclampsia With Eclamptic Seizures in Cesarean Delivery With Postoperative Ionized Magnesium Monitoring.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Prevention of recurrent eclamptic seizures requires the administration of magnesium sulfate. However, to our knowledge, there are no reports of cases in which the ionized magnesium concentration has been monitored during magnesium sulfate administration to prevent eclampsia. We describe a case in which monitoring of ionized magnesium permitted the use of magnesium sulfate to prevent a third eclamptic seizure. A 31-year-old primigravida with severe preeclampsia and eclampsia underwent emergency cesarean delivery. The patient had a recurrence of seizures intraoperatively. Postoperatively, she was managed with continuous magnesium sulfate infusion under ionized magnesium monitoring at the bedside using a blood gas analyzer in the intensive care unit. This approach might have helped prevent further seizures and complications associated with the administration of magnesium sulfate, such as hypermagnesemia. This case indicates that in the use of magnesium sulfate for patients with preeclampsia, ionized magnesium measurement was used for the rapid determination of magnesium levels.
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