Tags

Type your tag names separated by a space and hit enter

[Anesthesiologic and intensive care aspects of severe pre-eclampsia with HELLP syndrome].
Anasth Intensivther Notfallmed. 1990 Jun; 25(3):206-11.AI

Abstract

From 1984 to 1988 22 patients with preeclampsia and HELLP syndrome were treated in our ICU. The HELLP syndrome is defined as preeclampsia complicated by thrombocytopenia, hemolysis and disturbed liver function. 3 patients developed a severe DIC with consumption of hemostatic potential. One patient died in multiorgan failure having a consumption coagulopathy, liver rupture and renal failure. To prevent severe hemostatic complications, it is essential to start therapy of DIC as soon as possible by inhibition of the activated coagulation system. Bleeding caused by blood coagulation disorders can occur spontaneously and during operative treatment. Epidural or spinal anaesthesia should be avoided in patients with HELLP syndrome. Because of severe complications such as respiratory failure, diffuse bleeding caused by DIC and progressive deterioration of the renal and liver function in most of the cases, patients with HELLP syndrome require a close cooperation between obstetrics and anesthesist.

Authors+Show Affiliations

Zentrum Anaesthesiologie, Georg-August-Universität Göttingen.No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

2393077

Citation

Rathgeber, J, et al. "[Anesthesiologic and Intensive Care Aspects of Severe Pre-eclampsia With HELLP Syndrome]." Anasthesie, Intensivtherapie, Notfallmedizin, vol. 25, no. 3, 1990, pp. 206-11.
Rathgeber J, Rath W, Wieding JU. [Anesthesiologic and intensive care aspects of severe pre-eclampsia with HELLP syndrome]. Anasth Intensivther Notfallmed. 1990;25(3):206-11.
Rathgeber, J., Rath, W., & Wieding, J. U. (1990). [Anesthesiologic and intensive care aspects of severe pre-eclampsia with HELLP syndrome]. Anasthesie, Intensivtherapie, Notfallmedizin, 25(3), 206-11.
Rathgeber J, Rath W, Wieding JU. [Anesthesiologic and Intensive Care Aspects of Severe Pre-eclampsia With HELLP Syndrome]. Anasth Intensivther Notfallmed. 1990;25(3):206-11. PubMed PMID: 2393077.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Anesthesiologic and intensive care aspects of severe pre-eclampsia with HELLP syndrome]. AU - Rathgeber,J, AU - Rath,W, AU - Wieding,J U, PY - 1990/6/1/pubmed PY - 1990/6/1/medline PY - 1990/6/1/entrez SP - 206 EP - 11 JF - Anasthesie, Intensivtherapie, Notfallmedizin JO - Anasth Intensivther Notfallmed VL - 25 IS - 3 N2 - From 1984 to 1988 22 patients with preeclampsia and HELLP syndrome were treated in our ICU. The HELLP syndrome is defined as preeclampsia complicated by thrombocytopenia, hemolysis and disturbed liver function. 3 patients developed a severe DIC with consumption of hemostatic potential. One patient died in multiorgan failure having a consumption coagulopathy, liver rupture and renal failure. To prevent severe hemostatic complications, it is essential to start therapy of DIC as soon as possible by inhibition of the activated coagulation system. Bleeding caused by blood coagulation disorders can occur spontaneously and during operative treatment. Epidural or spinal anaesthesia should be avoided in patients with HELLP syndrome. Because of severe complications such as respiratory failure, diffuse bleeding caused by DIC and progressive deterioration of the renal and liver function in most of the cases, patients with HELLP syndrome require a close cooperation between obstetrics and anesthesist. SN - 0174-1837 UR - https://www.unboundmedicine.com/medline/citation/2393077/[Anesthesiologic_and_intensive_care_aspects_of_severe_pre_eclampsia_with_HELLP_syndrome]_ L2 - https://www.diseaseinfosearch.org/result/3266 DB - PRIME DP - Unbound Medicine ER -