scholarly journals Obstetrical anaesthesia for patients with HELLP syndrome

1992 ◽  
Vol 39 (1) ◽  
pp. 95-96
Author(s):  
Peter D. Collins
Keyword(s):  
Hellp Syndrome ◽  
Obstetrical Anaesthesia

Maternal and fetal outcome in HELLP syndrome

2019 ◽  
Vol 3 (4) ◽  
pp. 140-144
Author(s):  
Badugu Rao Bahadur ◽  
Prabha Devi Kodey ◽  
Amrutha Mula
Keyword(s):  
Hellp Syndrome ◽  
Fetal Outcome

Early-Onset Preeclampsia with Pulmonary Edema and Massive Ascites: A Rare Presentation of Severe Preeclampsia or Concomitant Diagnoses?

2020 ◽  
Vol 2020 ◽  
Author(s):  
Elizabeth St. Laurent ◽  
Rebecca Fryer-Gordon ◽  
Tom McNeilis, ◽  
Leonard B. Goldstein
Keyword(s):  
Pulmonary Edema ◽  
Early Onset ◽  
Hellp Syndrome ◽  
Disease Process ◽  
Massive Ascites ◽  
Elevated Liver Enzymes ◽  
Biophysical Profile ◽  
Patient Reported ◽  
Early Onset Preeclampsia ◽  
New Onset

Preeclampsia, eclampsia, and HELLP syndrome, are a continuum of a dangerous disease process that can occur in pregnancy. Preeclampsia is defined by new onset hypertension and proteinuria. In more severe cases, preeclampsia can be associated with pulmonary edema, oliguria, persistent headaches, and impaired liver function. These symptoms reveal maternal end organ damage which may result in danger to the fetus such as oligohydramnios, decreased fetal growth, and placental abruption. The defining difference between preeclampsia and eclampsia is the presence of new onset seizure activity. HELLP syndrome occurs when the mother experiences hemolysis, elevated liver enzymes, and low platelets. This syndrome is seen in about 0.6% of pregnancies. Each of these conditions (preeclampsia, eclampsia, and HELLP) increase both the fetal and maternal morbidity and mortality rates with the most definitive cure being delivery of child and placenta.A 28 year-old Caucasian, G1P0 female at 26w4d presented to OB triage on the recommendation of her physician due to elevated uric acid levels and a recorded blood pressure of 180/110. The patient reported rapid onset of weight gain, facial edema, diminished fetal movements, and frequent headaches. Although the patient denied labor symptoms, she complained of back pain and was admitted to the hospital at 26w4d for observation due to elevated blood pressures. The patient was diagnosed with preeclampsia with severe features. As her presentation progressed, the patient developed massive ascites and pulmonary edema along with decreasing platelet counts and increasing liver enzyme values. Due to decreasing biophysical profile (BPP) scores of the fetus and decompensating lab values of the mother, an emergency cesarean was performed for the safety of mother and baby.This case presentation demonstrates the progression of hypertensive disorders of pregnancy with a rare and severe presentation of early-onset preeclampsia with severe features, pulmonary edema, and massive ascites that ultimately led to class III HELLP syndrome and extreme prematurity of the infant.

A Rare Case of Expanded Dengue, Evans Syndrome, Hellp Syndrome & Multiorgan Dysfunction

2019 ◽  
Vol 10 (12) ◽  
pp. 171
Author(s):  
N. K. Sundaray ◽  
Srikant Kumar Dhar ◽  
Chandan Das ◽  
P. K. Tudu ◽  
S. C. Das ◽  
...  
Keyword(s):  
Hellp Syndrome ◽  
Rare Case ◽  
Evans Syndrome ◽  
Multiorgan Dysfunction

scholarly journals FP739PREECLAMPSIA, HELLP-SYNDROME AND THROMBOTIC MICROANGIOPATHY(TMA)-SIGNS DURING PREGNANCY AFTER KIDNEY TRANSPLANTATION

2018 ◽  
Vol 33 (suppl_1) ◽  
pp. i295-i295
Author(s):  
Tatyana Kirsanova ◽  
Maria Vinogradova ◽  
Alina Kolyvanova ◽  
Natalia Kravchenko ◽  
Tatyana Fedorova
Keyword(s):  
Kidney Transplantation ◽  
Thrombotic Microangiopathy ◽  
Hellp Syndrome

scholarly journals Haemolysis, elevated liver enzymes and low platelets: Diagnosis and management in critical care

2021 ◽  
pp. 175114372110254
Author(s):  
Evangelia Poimenidi ◽  
Yavor Metodiev ◽  
Natasha Nicole Archer ◽  
Richard Jackson ◽  
Mansoor Nawaz Bangash ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Critical Care ◽  
Liver Failure ◽  
Hellp Syndrome ◽  
Seizure Control ◽  
Liver Enzymes ◽  
Kidney Injury ◽  
Definitive Treatment ◽  
Multisystem Disease ◽  
Elevated Liver Enzymes

A thirty-year-old pregnant woman was admitted to hospital with headache and gastrointestinal discomfort. She developed peripheral oedema and had an emergency caesarean section following an episode of tonic-clonic seizures. Her delivery was further complicated by postpartum haemorrhage and she was admitted to the Intensive Care Unit (ICU) for further resuscitation and seizure control which required infusions of magnesium and multiple anticonvulsants. Despite haemodynamic optimisation she developed an acute kidney injury with evidence of liver damage, thrombocytopenia and haemolysis. Haemolysis, Elevated Liver enzymes and Low Platelets (HELLP) syndrome, a multisystem disease of advanced pregnancy which overlaps with pre-eclampsia, was diagnosed. HELLP syndrome is associated with a range of complications which may require critical care support, including placental abruption and foetal loss, acute kidney injury, microangiopathic haemolytic anaemia, acute liver failure and liver capsule rupture. Definitive treatment of HELLP is delivery of the fetus and in its most severe forms requires admission to the ICU for multiorgan support. Therapeutic strategies in ICU are mainly supportive and include blood pressure control, meticulous fluid balance and possibly escalation to renal replacement therapy, mechanical ventilation, neuroprotection, seizure control, and management of liver failure-related complications. Multidisciplinary input is essential for optimal treatment.

scholarly journals Postpartum corticosteroids in HELLP syndrome – standard to prompt recovery

2016 ◽  
Vol 117 (07) ◽  
pp. 418-424
Author(s):  
M. Gabor ◽  
M. Drab ◽  
K. Holoman
Keyword(s):  
Hellp Syndrome

Quadruple dissection artérielle cervicale et pré-éclampsie avec HELLP syndrome : à propos d’un cas

2014 ◽  
Vol 43 (7) ◽  
pp. 551
Author(s):  
N. Nocart ◽  
P.-A. Stockle ◽  
M. Masri ◽  
M. Cannella ◽  
A. Roullier
Keyword(s):  
Hellp Syndrome

Neutrophil oxygen radical production in pre-eclampsia with HELLP syndrome

2001 ◽  
Vol 99 (2) ◽  
pp. 213-218 ◽  
Author(s):  
Petra L.M Zusterzeel ◽  
Geert J.A Wanten ◽  
Wilbert H.M Peters ◽  
Hans M.W.M Merkus ◽  
Eric A.P Steegers
Keyword(s):  
Hellp Syndrome ◽  
Oxygen Radical ◽  
Radical Production ◽  
Oxygen Radical Production
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