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Int J Obstet Anesth · Feb 2014
Case ReportsTransoesophageal Doppler-guided fluid management in massive obstetric haemorrhage.
- R Schiraldi, L Calderón, G Maggi, N Brogly, E Guasch, and F Gilsanz.
- Department of Anaesthesiology, La Paz University Hospital, Madrid, Spain.
- Int J Obstet Anesth. 2014 Feb 1;23(1):71-4.
AbstractMassive 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.Copyright © 2013 Elsevier Ltd. All rights reserved.
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