Why the study?
Does continuous fetal monitoring using transvaginal ultrasonography help identify deleterious hemodynamic events during cardiopulmonary bypass in pregnant women?
Population
2 pregnant women in the second trimester undergoing mitral valve replacement with cardiopulmonary bypass
Design
Case_series
Authors
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May support continuous fetal monitoring to detect CPB-related instability in pregnancy; hypothesis-generating and should not yet change practice.
Does continuous fetal monitoring using transvaginal ultrasonography help identify deleterious hemodynamic events during cardiopulmonary bypass in pregnant women?
Continuous transvaginal ultrasound monitoring of the fetus during maternal cardiac surgery highlights the critical risk of hypotension during CPB initiation and suggests a gradual transition strategy to avoid vasopressor use.
Mishra et al. (2014) studied this question.
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