Transoesophageal Doppler-guided fluid management in massive obstetric haemorrhage.
Int J Obstet Anesth
; 23(1): 71-4, 2014 Feb.
Article
em En
| MEDLINE
| ID: mdl-24315699
ABSTRACT
Massive postpartum haemorrhage is a major worldwide cause of maternal mortality. Management requires intensive fluid resuscitation and blood transfusion. Although fluid therapy is often directed by the results of a full blood count and clotting screen, recent technological advances allow monitoring of haemodynamic function and cardiac output. Transoesophageal Doppler technology has been used during haemorrhagic shock in non-obstetric patients. We present the case of a caesarean delivery complicated by massive haemorrhage where transoesophageal Doppler monitoring with the CardioQ-ODM™ was used to guide fluid therapy and the use of vasoactive drugs.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ultrassonografia de Intervenção
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Ultrassonografia Doppler
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Hidratação
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Hemorragia Pós-Parto
Limite:
Adult
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Female
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Humans
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Pregnancy
Idioma:
En
Revista:
Int J Obstet Anesth
Ano de publicação:
2014
Tipo de documento:
Article