Point-of-care ultrasound in the critically ill pregnant or postpartum patient: what every intensivist should know
Pregnant and postpartum women needing intensive care account for a low proportion of admissions to the intensive care unit (ICU), approaching one ICU admission for every 370 deliveries . The most common causes requiring critical care are hypertensive disorders of pregnancy and obstetric hemorrhage [1, 2], and the majority of ICU admissions occur in the puerperium .
Both authors contributed to the writing of this manuscript equally. Both authors read and approved the final manuscript.
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Conflicts of interest
Authors have no conflicts of interest related to this submission.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
ESM 2. Peripartum cardiomyopathy in the immediate puerperium of a young woman presenting with signs of congestive heart failure. Transthoracic echocardiogram (TTE) shows a dilated left ventricle (LV) with severely impaired systolic function; LV filling pressure is elevated as well. An intracardiac thrombus and a left-sided pleural effusion are also observed. (WMV 11654 kb)
ESM 3. Severe mitral valve stenosis in a patient presenting late in pregnancy with signs of congestive heart failure. TTE shows a normal LVEF, a dilated left atrium, a clearly reduced opening of the mitral valve (MV) leaflets, and a highly elevated mean MV gradient on continuous wave Doppler; pulmonary hypertension (not shown) was demonstrated as well. (WMV 2708 kb)
ESM 5. Hypovolemic shock in a patient with severe blood loss secondary to uterine atony. TTE shows depleted cardiac chambers, a tiny inferior vena cava and hyperdynamic ventricles. (WMV 5637 kb)
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