Preeclampsia remains a leading cause of maternal morbidity and mortality in the UK,
and fluid management in these patients may be difficult.
1
Central venous pressure (CVP) monitoring has been recommended to guide fluid therapy
in preeclampsia, but its value is uncertain.
2
Serious complications caused by central venous catheter (CVC) insertion have been
reported in women with preeclampsia.
1
,
3
,
4
,
5
We surveyed obstetric anaesthetists in the UK about their use of CVP monitoring in
preeclampsia.To read this article in full you will need to make a payment
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References
Lewis G, editor. The Confidential Enquiry into Maternal and Child Health (CEMACH); Saving Mothers’ Lives: Reviewing maternal deaths to make motherhood safer 2003-2005. The Seventh Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. London; CEMACH: 2007.
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- Carotid artery puncture, airway obstruction and the laryngeal mask airway in a preeclamptic patient.Int J Obstet Anesth. 1996; 5: 194-197
- Neck haematoma and airway obstruction in a pre-eclamptic patient: a complication of internal jugular vein cannulation.Anaesth Intensive Care. 1997; 25: 423-425
- Reducing major procedural complications from central venous catheterisation.Anaesthesia. 2011; 66: 6-9
- Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of the seven mares.Chest. 2008; 134: 172-178
- The safety and utility of pulmonary artery catheterization in severe preeclampsia and eclampsia.Am J Obstet Gynecol. 2000; 182: 1397-1401
- Lack of agreement between central venous pressure and pulmonary capillary wedge pressure in preeclampsia.Hypertens Pregnancy. 2000; 19: 261-271
- Complications of central venous catheter during pregnancy and postpartum: a case series.Am J Obstet Gynecol. 2009; 311: e1-e5
Article info
Publication history
Published online: June 06, 2011
Accepted:
April 18,
2011
Identification
Copyright
© 2011 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.