use of magnesium sulfate in severely preeclamptic patients for emergency cesarean section

The anaesthetic management in the peripartum period of a pre-eclamptic patient is important. The anesthesiologist must perform a detailed preanesthetic assessment, including a history and physical examination. The morbidity and mortality rates are higher in severe preeclamsia. Magnesium sulfate has been successfully used in obstetrics for inhibiting premature labor and in the treatment of eclampsia-related seizures. Magnesium inhibits the release of acetylcholine in the neuromuscular junction and behaves like a neuromuscular relaxant, potentiating the effects of non-depolarizing neuromuscular blockers. We report two cases of pregnancy with severe preeclampsia, managed with magnesium sulfate, who underwent emergency caesarian section