Ahmet ERK, Nadi KESKİN, Murat DİKMENGİL, Baki KOMSUOĞLU

Obstetrik ve Jinekolojide İnvasiv Hemodinamik Monitorizasyon

Obstetrik ve jinekolokideki invasiv hemodinamik monitorizasyon endikasyonları diğer cerrahi ve dahili branştakilerle aynıdır. Monitorizasyon hakkındaki klinik uygulama kesin kriterlere bağlanamaz ve her vaka için ayrı ayrı değerlendirilmelidir. Her hasta invasiv monitorizasyondan fayda görmeyeceğinden uygun hasta seçimi önemlidir. Elde edilen bilgilerden tedavi yöntemlerinin yönlendirilmesi ve değerlendirilmesinde kullanılır. Bu durumda uygun tedavi kritik hastalığın veya kardiyak respiratuvar dekompansasyon sonucunda önemli etkisi olur. Halen jinekoloji ve obstetrikte pulmoner arter katerizasyonunun etkinliği üzerine prospektif randomize bir çalışma mevcut değildir.

Anahtar Kelimeler:

Hemodinamik monitörizasyon, obstetrik, jinekoloji

Invasive Hemodynamic Monitoring in Obstetrics and Gynecology

The indications for invasive hemodynamic monitoring in obstetrics and gynecology are much the same in any other area of medicine and surgery. The clinical decision of whether to employ monitoring cannot be made according to absolute criteria but must me made on individual basis. Proper patient selection is important because not every patient will benefit from invasive monitoring. Also skilled physicians, nurses and support personnel should be available. The information collected can be used to both guide and evaluate therapeutic maneuvers. Proper management in these conditions would have a significant impact on the outcome of a critical illness or on the patients on the verge of cardiac or respiratory decompensation. Currently there is no prospective randomized study about the efficiency of the pulmonary artery catheter in obstetrics and gynecology.

Keywords:

Hemodynamic monitoring, obstetrics, gynecology,

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