Question

Which is the anaesthesia of choice for caesarean section in severe pre-eclampsia?

• A. Spinal
• B. General anaesthesia
• C. Epidural
• D. Spinal plus epidural

Hint:

A titratable block avoids airway risk and abrupt hypotension.

Answer 1

The Correct Option is C

Step 1: In severe pre-eclampsia the goals are stable blood pressure, good uteroplacental perfusion and avoidance of a difficult airway.
Step 2: Continuous epidural anaesthesia gives a gradual, titratable block that avoids the abrupt hypotension of single-shot spinal and improves uteroplacental perfusion while reducing catecholamine surges.
Step 3: It also avoids general anaesthesia, where laryngeal and airway edema make intubation hazardous and laryngoscopy can spike blood pressure. Thus option C is preferred over spinal (B), GA and combined techniques per the recall key.