Health Condition 1: null- pre-eclamptic parturients with severe features
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Preeclamptic patients with period of gestation >20 weeks will be assessed for eligibility for enrollment to the study if they show any one of the following features.11 • BP is >=160 mmHg systolic and/or >=110 mmHg diastolic (on 2 occasions at least 4 hours apart, while the patient is on bed rest) after 20 weeks gestation Â¥ New onset BP is >=140mmHg systolic and/or >=90mmHg diastolic (on 2 occasions at least 4 hours apart, while the patient is on bed rest) with any of the following is present: Â¥ Pulmonary features Â¥ Thrombocytopenia, platelets count Â¥ Serum creatinine >=1.1 mg/L or a doubling of the serum creatinine concentration in the absence of other renal disease Â¥ Impaired liver function, elevated blood concentrations of liver transaminases to twice normal concentration Â¥ Cerebral or visual disturbances
Exclusion criteria
Exclusion criteria: ¥ Pregnancy with severe anaemia ¥ Gestational/chronic hypertension ¥ Pregnancy with known cardiac diseases ¥ Those who are not willing to give consent for participating in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the ability of bedside lung ultrasound to detect interstitial alveolar syndrome in preeclamptic women with severe features admitted for delivery.Timepoint: at admission, before delivery and within 24 hours after delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary objectives will include association ,if any, with 1. Clinical features of acute breathlessness, tachypnea, respiratory compromise 2. Rapidity of rise in blood pressure over preceding week 3. Change in biochemical parameters 4. Any other secondary features having multisystem involvement 5. To correlate echocardiography finding with lung sonography B-lines (To rule out cardiac diseases) Timepoint: during admission period | — |
Countries
India
Contacts
Department of Anesthesia and Intensive Care, PGIMER