Septic shock in pregnancy: a case report.
We present the clinical course of a pregnant woman in septic shock. While we were managing this case, an elevated pulmonary capillary wedge pressure was found, expressing left ventricular dysfunction. Therefore we question the widely accepted and recommended practice of loading the pregnant women in septic shock with 1 to 2 L of crystalloids before the institution of central monitoring. It is our belief that an aggressive and earlier central monitoring of the hemodynamic status can result in better treatment decisions.
Marcovici
I
I
Department of Obstetrics and Gynecology, Millcreek Community Hospital, Erie, Pennsylvania 16509, USA.
Ferretti
J M
JM
D000328:Adult; D005260:Female; D005313:Fetal Death / Q000000981:diagnostic imaging; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000503:physiopathology* / Q000628:therapy*; D011669:Pulmonary Wedge Pressure / Q000502:physiology; D012772:Shock, Septic / Q000150:complications / Q000503:physiopathology* / Q000628:therapy*; D016216:Ultrasonography, Prenatal; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000503:physiopathology