期刊
JOURNAL OF CLINICAL ANESTHESIA
卷 22, 期 4, 页码 274-279出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jclinane.2009.03.019
关键词
Anesthesia; obstetrical; Blood pressure; Cardiac output; Chronic renal failure; Hemodynamics; Hypertension; LiDCO; Preeclampsia; Pregnancy; PulseCO; Pulse contour analysis; Renal failure; Systemic vascular resistance
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. (C) 2010 Elsevier Inc. All rights reserved.
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