In this episode, we walk through the anesthetic management of a pregnant patient with HELLP syndrome who requires an urgent cesarean delivery. With neuraxial anesthesia off the table, we focus on the critical aspects of delivering safe and effective general anesthesia in a high-risk maternal patient. From airway planning and induction strategies to hemodynamic management and coordination with obstetric and ICU teams, this case-based discussion offers real-time insights for navigating one of the most complex emergencies in obstetric anesthesia.

The show hosts are Dr. Alexander Butwick MBBS, FRCA, MS - Professor of Anesthesia and Division Chief of Obstetric Anesthesia in the Department of Anesthesia & Perioperative Care at University of California San Francisco, Dr. Amanpreet Bilg MD - Resident in Anesthesia, Department of Anesthesia & Perioperative Care at University of California San Francisco, and Chioma Onuoha - MD Candidate 2025, University of California, 2025.

The views expressed by the hosts are based on individual experience and content knowledge and do not reflect those of the University of California San Francisco.