2017, Number 5
<< Back Next >>
Med Crit 2017; 31 (5)
Non-invasive and minimally invasive hemodynamic monitoring in the severe obstetric patient
Pérez-Calatayud ÁA, inarte-Basilio ME, Díaz PM, Carrillo ER, Briones-Garduño JC
Language: Spanish
References: 19
Page: 275-284
PDF size: 207.91 Kb.
ABSTRACT
Pregnancy is a state, which poses a real challenge to the maternal cardiovascular system. Obstetric patients who are complicated by preeclampsia, heart disease, sepsis, hemorrhage and pulmonary thromboembolism are characterized by profound hemodynamic alterations, which represent the main causes of morbidity and extreme maternal mortality, so there is a need for a correct evaluation and monitoring of these parameters, which is validated in this type of patients. The objective of this review is to describe the technology available at the patient’s bedside for the performance of this hemodynamic monitoring in the high-risk pregnant patient.
REFERENCES
Vinayagam D, Gutierrez J, Binder J, Mantovani E, Thilaganathan B, Khalil A. Impaired maternal hemodynamics in morbidly obese women: a case-control study. Ultrasound Obstet Gynecol. 2017. doi: 10.1002/uog.17428. [Epub ahead of print]
Vonck S, Staelens AS, Bollen I, Broekx L, Gyselaers W. Why non-invasive maternal hemodynamics assessment is clinically relevant in early pregnancy: a literature review. BMC Pregnancy Childbirth. 2016;16(1):302.
Stott D, Bolten M, Salman M, Paraschiv D, Clark K, Kametas NA. Maternal demographics and hemodynamics for the prediction of fetal growth restriction at booking, in pregnancies at high risk for placental insufficiency. Acta Obstet Gynecol Scand. 2016;95(3):329-338.
Meneses-Calderón J, Moreno-Santillán AA, González-Díaz JI, Díaz de León Ponce MA, Rodríguez-Roldán M, Castorena de Ávila R, et al. Medición hemodinámica en preeclampsia severa. Rev Asoc Mex Med Crit y Ter Int. 2008;22(1):10-14.
Almela-Quilis A, Millán-Soria J, Alonso-Íñigo JM, García-Bermejo P. Monitorización hemodinámica no invasiva o mínimamente invasiva en el paciente crítico en los servicios de urgencias y emergencias. Emergencias. 2015;27(6):386-395.
Hill CC, Pickinpaugh J. Physiologic changes in pregnancy. Surg Clin North Am. 2008;88(2):391-401, vii.
Vinayagam D, Patey O, Thilaganathan B, Khalil A. Cardiac output assessment in pregnancy: comparison of two automated monitors with echocardiography. Ultrasound Obstet Gynecol. 2017;49(1):32-38.
Vinayagam D, Thilaganathan B, Stirrup O, Mantovani E, Khalil A. Maternal hemodynamics in normal pregnancies: reference ranges and the role of maternal characteristics. Ultrasound Obstet Gynecol. 2017. doi: 10.1002/uog.17504. [Epub ahead of print]
Fischer MO, Guinot PG, Biais M, Mahjoub Y, Mallat J, Lorne E; French Hemodynamic Team (FHT). A dynamic view of dynamic indices. Minerva Anestesiol. 2016;82(10):1115-1121.
Renner J, Grünewald M, Bein B. Monitoring high-risk patients: minimally invasive and non-invasive possibilities. Best Pract Res Clin Anaesthesiol. 2016;30(2):E201-E216.
Meneses-Calderón J, Díaz de León Ponce M, Moreno-Santillán AA, González-Díaz JI, Amezola-Ceballos MA, Jiménez-Arroyo EP, et al. Medición de valores hemodinámicos en el embarazo normoevolutivo y puerperio inmediato por bioimpedancia torácica. Rev Asoc Mex Med Crit y Ter Int. 2007;21(3):149-153.
Ochagavía A, Baigorri F, Mesquida J, Ayuela JM, Ferrándiz A, García X, et al. Monitorización hemodinámica en el paciente crítico. Recomendaciones del Grupo de Trabajo de Cuidados Intensivos Cardiológicos y RCP de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias. Med Intensiva. 2014;38(3):154-169.
Brogly N, Schiraldi R, Puertas L, Maggi G, Yanci EA, Maldonado-Ever HM, et al. Pulse contour analysis calibrated by trans-pulmonar thermodilution (Picco Plus®) for the perioperative management of a caesarean section in a patient with severe cardiomyopathy. Rev Bras Anestesiol. 2016;66(3):329-332.
Auler JO Jr, Torres ML, Cardoso MM, Tebaldi TC, Schmidt AP, Kondo MM, et al. Clinical evaluation of the flotrac/Vigileo system for continuous cardiac output monitoring in patients undergoing regional anesthesia for elective cesarean section: a pilot study. Clinics (Sao Paulo). 2010;65(8):793-798.
Bliacheriene F, Carmona MJ, Barretti Cde F, Haddad CM, Mouchalwat ES, Bortolotto MR, et al. Use of a minimally invasive uncalibrated cardiac output monitor in patients undergoing cesarean section under spinal anesthesia: report of four cases. Rev Bras Anestesiol. 2011;61(5):610-618, 334-338.
Xiao W, Duan QF, Fu WY, Chi XZ, Wang FY, Ma DQ, et al. Goal-directed fluid therapy may improve hemodynamic stability of parturient with hypertensive disorders of pregnancy under combined spinal epidural anesthesia for cesarean delivery and the well-being of newborns. Chin Med J (Engl). 2015;128(14):1922-1931.
Katz J, Shear TD, Murphy GS, Alspach D, Greenberg SB, Szokol J, et al. Cardiovascular collapse in the pregnant patient, rescue transesophageal echocardiography and open heart surgery. J Cardiothorac Vasc Anesth. 2017;31(1):203-206.
Burrage PS, Shernan SK, Tsen LC, Fox JA, Wilusz K, Eltzschig HK, et al. Emergent transesophageal echocardiography in hemodynamically unstable obstetric patients. Int J Obstet Anesth. 2015;24(2):131-136.
Ashford EJ, Klimkina O, Hassan ZU, Colclough G, Fragneto R. Transesophageal echocardiography monitoring in the delivery of a preeclamptic parturient with severe left ventricular noncompaction. J Clin Anesth. 2014;26(6):490-494.