Biomedical Research Articles

Abstract

#Preeclampsia (PE) is a pregnancy-specific syndrome characterized by maternal #cardiac output (CO) alterations and relative #hypovolemia. In patients with PE is mandatory to predict Fluid Responsiveness (FR), above all if caesarean section (CS) under spinal anesthesia is required. The fluid challenge (FC) is a diagnostic approach to #hemodynamicmanagement which aims at identifying the patients who respond to fluid administration with an increase in CO. We present a case series to evaluate the effectiveness of a FC in increasing Cardiac Index (CI) in a group of #preeclampticpatients using a continuous pulse-contour analysis. We studied the percentage of patients with PE scheduled for caesarean delivery who had a 15% increase of CI after a FC, in comparison with a control group of healthy pregnant patients. At baseline the patients in PE group showed higher Mean Arterial Pressure (MAP) and lower Stroke Volume Index (SVI). Fifteen patients were non responders (69% of the patients in PE group and 46% of the patients in control).

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https://biomedres.us/abstracts/BJSTR.MS.ID.001210.php

https://biomedres.us/fulltexts/BJSTR.MS.ID.001210.php

Pulse Contour Analysis for Prediction of #FluidResponsiveness in Preeclamptic Patients: A Case Series by Luciano Frassanito in BJSTR