title: Transoesophageal Doppler-guided fluid management in massive obstetric haemorrhage.
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.
authors: Department of Anaesthesiology, La Paz University Hospital, Madrid, Spain.
authors: R
authors: R
authors: Schiraldi
authors: Department of Anaesthesiology, La Paz University Hospital, Madrid, Spain.
authors: L
authors: L
authors: Calderón
authors: Department of Anaesthesiology, La Paz University Hospital, Madrid, Spain. Electronic address: genaromaggi@hotmail.com.
authors: G
authors: G
authors: Maggi
authors: Department of Anaesthesiology, La Paz University Hospital, Madrid, Spain.
authors: N
authors: N
authors: Brogly
authors: Department of Anaesthesiology, La Paz University Hospital, Madrid, Spain.
authors: E
authors: E
authors: Guasch
authors: Department of Anaesthesiology, La Paz University Hospital, Madrid, Spain.
authors: F
authors: F
authors: Gilsanz
mesh_terms: D000328:Adult; D001792:Blood Platelets; D002302:Cardiac Output / Q000502:physiology; D002585:Cesarean Section; D003102:Colloids / Q000627:therapeutic use; D000077324:Crystalloid Solutions; D004912:Erythrocytes; D005260:Female; D005440:Fluid Therapy / Q000379:methods*; D006801:Humans; D007552:Isotonic Solutions / Q000627:therapeutic use; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D018608:Ultrasonography, Doppler / Q000379:methods*; D018084:Ultrasonography, Interventional / Q000379:methods*
chemical_list: D003102:Colloids; D000077324:Crystalloid Solutions; D007552:Isotonic Solutions
keywords: Cardiac output; CardioQ-ODM™; Obstetric haemorrhage; Transoesophageal Doppler velocimetry