Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2757783 | International Journal of Obstetric Anesthesia | 2014 | 4 Pages |
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.
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Authors
R. Schiraldi, L. Calderón, G. Maggi, N. Brogly, E. Guasch, F. Gilsanz,