Minimally Invasive Hemodynamic Assessment during Obstetric Hysterectomy for Invasive Placentation with Epidural Anesthesia

Table 1

Goal-directed therapy.

	Targets	Interventions
Hemodynamic
Cardiac index^1	At least 2.5 L/min/m^2	Inotropes|Fluids
Systemic vascular resistance index^2	1250–2500 dynes·sec·cm5/m^2	Vasopressor|Fluids
Central venous pressure^3	6–12 mmHg	Fluids
Mean arterial pressure^2	65–90 mmHg	Vasopressor|Fluids
Thromboelastography
R. Reaction time^4	4–8 min	FFP 10 ml/kg
MA. Maximum amplitude^5	62–84 mm	Cryoprecipitate 2 ml/Kg and platelet apheresis
Blood Test
Hemoglobin^5	70–90 gr/L	Packed red blood cells
Platelets^5	<50 000 c/µL	Platelet apheresis
Fibrinogen^6	<200 mg/dL	Cryoprecipitate 2 ml/Kg
Prothrombin time^5	<16	FFP 10 ml/kg
International normalized ratio^5	<1.5	FFP 10 ml/kg

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