Document Detail


Perioperative hemodynamics obtained by pulse contour analysis facilitated the management of a patient with chronic hypertension, renal insufficiency, and superimposed preeclampsia during cesarean delivery.
MedLine Citation:
PMID:  20522358     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 23 year-old woman with chronic hypertension, focal segmental glomerular sclerosis with chronic renal insufficiency, and superimposed severe preeclampsia, required cesarean delivery. The patient's course was also complicated by severe hyperkalemia and hypermagnesemia. "PulseCO" pulse contour analysis of a directly measured radial artery pressure tracing, without lithium calibration, enabled her physicians to follow trends in cardiac output and systemic vascular resistance, facilitating and rationalizing her care. The limitations of pulse contour analysis are discussed.
Authors:
Thomas L Archer; J D Heitmeyer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  22     ISSN:  1873-4529     ISO Abbreviation:  J Clin Anesth     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-04     Completed Date:  2010-09-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  274-9     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Anesthesiology, University of Texas Health Science Center, San Antonio, TX 78229, USA. tarcher@ucsd.edu
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MeSH Terms
Descriptor/Qualifier:
Cardiac Output
Cesarean Section / methods*
Chronic Disease
Female
Glomerulosclerosis, Focal Segmental / complications
Hemodynamics
Humans
Hyperkalemia / complications
Hypertension / complications
Magnesium / blood
Monitoring, Intraoperative / methods*
Pre-Eclampsia / physiopathology*
Pregnancy
Pregnancy Complications / physiopathology*
Radial Artery
Renal Insufficiency, Chronic / complications
Severity of Illness Index
Young Adult
Chemical
Reg. No./Substance:
7439-95-4/Magnesium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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