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Preeclampsia and Related Problems

Amit Narkhede, Dilip R. Karnad

2022Indian Journal of Critical Care Medicine22 citationsDOIOpen Access PDF

Abstract

/L), abnormal liver function, serum creatinine >1.1 mg/dL, or a doubling of the serum creatinine concentration in the absence of other renal diseases, disseminated intravascular coagulation, pulmonary edema, new-onset headache, or visual disturbances. Severe preeclampsia or eclampsia (preeclampsia with seizures) needs ICU management and is the main cause of morbidity and mortality. Severe hypertension can also result in life-threatening intracranial hemorrhage. Blood pressure control, seizure prevention, and appropriate timing of delivery are the cornerstones of the management of preeclampsia. Besides intravenous antihypertensive drugs, intravenous magnesium sulfate is the drug of choice to prevent or treat seizures, when preparing for urgent delivery. At present, delivery remains the most effective treatment for preeclampsia, and organ dysfunction rapidly recovers after delivery. Novel therapeutic interventions are under development to reduce complications. How to cite this article: Narkhede AM, Karnad DR. Preeclampsia and Related Problems. Indian J Crit Care Med 2021;25(Suppl 3):S261-S266.

Topics & Concepts

MedicinePreeclampsiaPregnancyProteinuriaEclampsiaDisseminated intravascular coagulationCreatinineObstetricsInternal medicineKidneyBiologyGeneticsPregnancy and preeclampsia studiesNeurological Complications and SyndromesElectrolyte and hormonal disorders
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