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Renal and cardiovascular repercussions in preeclampsia and their impact on fluid management: a literature review

Preeclampsia is a multifactorial condition associated with significant morbidity and mortality. Fluid therapy in these patients is challenging since volume expansion may precipitate pulmonary edema, and fluid restriction may worsen renal function. Furthermore, cardiac impairment may introduce an add...

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Autores principales: da Silva, Wallace Andrino, Pinheiro, Aline Macedo, Lima, Paulo Henrique, Malbouisson, Luiz Marcelo S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373504/
https://www.ncbi.nlm.nih.gov/pubmed/33845102
http://dx.doi.org/10.1016/j.bjane.2021.02.052
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author da Silva, Wallace Andrino
Pinheiro, Aline Macedo
Lima, Paulo Henrique
Malbouisson, Luiz Marcelo S.
author_facet da Silva, Wallace Andrino
Pinheiro, Aline Macedo
Lima, Paulo Henrique
Malbouisson, Luiz Marcelo S.
author_sort da Silva, Wallace Andrino
collection PubMed
description Preeclampsia is a multifactorial condition associated with significant morbidity and mortality. Fluid therapy in these patients is challenging since volume expansion may precipitate pulmonary edema, and fluid restriction may worsen renal function. Furthermore, cardiac impairment may introduce an additional component to the hemodynamic management. This article reviews the repercussions of preeclampsia on renal and cardiovascular systems and the development of pulmonary edema, as well as to discuss fluid management, focusing on the mitigation of adverse outcomes and monitoring alternatives. The literature review was carried out using PubMed, Embase, and Google Scholar databases from May 2019 to March 2020. Papers addressing the subjects of interest were included regardless of the publication language. There is a current trend towards restricting the administration of fluids in women with non-complicated preeclampsia. However, patients with preeclampsia may experience hemorrhagic shock, requiring volume resuscitation. In this case, hemodynamic monitoring is recommended to guide fluid therapy while avoiding complications.
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spelling pubmed-93735042022-08-15 Renal and cardiovascular repercussions in preeclampsia and their impact on fluid management: a literature review da Silva, Wallace Andrino Pinheiro, Aline Macedo Lima, Paulo Henrique Malbouisson, Luiz Marcelo S. Braz J Anesthesiol Narrative Review Preeclampsia is a multifactorial condition associated with significant morbidity and mortality. Fluid therapy in these patients is challenging since volume expansion may precipitate pulmonary edema, and fluid restriction may worsen renal function. Furthermore, cardiac impairment may introduce an additional component to the hemodynamic management. This article reviews the repercussions of preeclampsia on renal and cardiovascular systems and the development of pulmonary edema, as well as to discuss fluid management, focusing on the mitigation of adverse outcomes and monitoring alternatives. The literature review was carried out using PubMed, Embase, and Google Scholar databases from May 2019 to March 2020. Papers addressing the subjects of interest were included regardless of the publication language. There is a current trend towards restricting the administration of fluids in women with non-complicated preeclampsia. However, patients with preeclampsia may experience hemorrhagic shock, requiring volume resuscitation. In this case, hemodynamic monitoring is recommended to guide fluid therapy while avoiding complications. Elsevier 2021-04-15 /pmc/articles/PMC9373504/ /pubmed/33845102 http://dx.doi.org/10.1016/j.bjane.2021.02.052 Text en © 2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Narrative Review
da Silva, Wallace Andrino
Pinheiro, Aline Macedo
Lima, Paulo Henrique
Malbouisson, Luiz Marcelo S.
Renal and cardiovascular repercussions in preeclampsia and their impact on fluid management: a literature review
title Renal and cardiovascular repercussions in preeclampsia and their impact on fluid management: a literature review
title_full Renal and cardiovascular repercussions in preeclampsia and their impact on fluid management: a literature review
title_fullStr Renal and cardiovascular repercussions in preeclampsia and their impact on fluid management: a literature review
title_full_unstemmed Renal and cardiovascular repercussions in preeclampsia and their impact on fluid management: a literature review
title_short Renal and cardiovascular repercussions in preeclampsia and their impact on fluid management: a literature review
title_sort renal and cardiovascular repercussions in preeclampsia and their impact on fluid management: a literature review
topic Narrative Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373504/
https://www.ncbi.nlm.nih.gov/pubmed/33845102
http://dx.doi.org/10.1016/j.bjane.2021.02.052
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