Maternal Hemodynamic Monitoring and the Vigileo Monitor

Raghunathan, Karthik; Zuegge, Karin L.; Connelly, Neil Roy; Lucas, T.

doi:10.1097/aln.0b013e3181a86320

Cited by 5 publications

(2 citation statements)

References 18 publications

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“…18 Every monitoring method has its limitations: thermodilution PAC measurements can be affected by the temperature of resuscitation fluid and blood; transthoracic Doppler echocardiography may be of significantly limited value in obese patients or those with a pneumomediastinum, and continuous noninvasive arterial pressure waveform-based monitoring in pregnancy has not been well studied in large populations of spontaneously breathing obstetric patients. 18 That being said, the involvement of subspecialists well versed in maternal physiology, such as maternal-fetal medicine specialists and obstetric anesthesiologists with the trauma and critical care teams, is crucial in helping to guide the volume management of critically ill obstetric trauma patients.…”

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confidence: 99%

Trauma in Pregnancy

Oxford

Ludmir

2009

Clinical Obstetrics &Amp; Gynecology

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In the United States, trauma is the leading nonobstetric cause of maternal death. The principal causes of trauma in pregnancy include motor vehicle accidents, falls, assaults, homicides, domestic violence, and penetrating wounds. The managing team evaluating and coordinating the care of the pregnant trauma patient should be multidisciplinary so that it is able to understand the physiologic changes in pregnancy. Blunt trauma to the abdomen increases the risk of placental abruption. Evaluation of the pregnant trauma patient requires a primary and secondary survey with emphasis on airway, breathing, circulation, and disability. The use of imaging studies, invasive hemodynamics, critical care medications, and surgery, if necessary, should be individualized and guided by a coordinating team effort to improve maternal and fetal conditions. A clear understanding of gestational age and fetal viability should be documented in the record.

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confidence: 99%

Trauma in Pregnancy

Oxford

Ludmir

2009

Clinical Obstetrics &Amp; Gynecology

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“…5 There is currently suggestion that systolic blood pressure variation (SBPV), pulse pressure variation (PPV) and stroke volume variation (SVV) may be better indices of fluid responsiveness in the non-obstetric population although these indices have mostly been studied in mechanically-ventilated, critically-ill patients. [6][7][8][9] This debate has sparked interest in minimally-and noninvasive techniques of cardiac output monitoring and the need for further research into these methods in spontaneously-breathing patients, both in the obstetric and nonobstetric populations. Minimally-invasive cardiac output monitors used currently in obstetric anaesthetic practice include those based on Doppler velocimetry such as transthoracic and transoesophageal echocardiography and those based on analysis of the arterial waveform (LiD-CO Ò , PiCCO Ò and FloTrac-Vigileo Ò ).…”

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confidence: 99%