Preeclampsia is among the most commonly encountered obstetric emergencies. Definitions and optimal therapies have changed significantly over the past few years. Although specialists in Obstetrics will invariably be involved in these cases, all resuscitationists need to have a firm grasp of this topic.
The optimal therapies for preeclampsia remain controversial. For example, the International Society for the Study of Hypertension in Pregnancy (ISSHP) recommends a magnesium infusion at 1 gram/hour (4 mM/hr), whereas the American College of Obstetrics and Gynecology (ACOG) recommends an infusion at 2 grams/hour (8 mM/hr) in most patients.1,2 Of course, when dueling guidelines disagree, this merely highlights the fact that no definitive evidence exists. Overall the chapter has been written to be consistent with the American College of Obstetrics and Gynecology guidelines, which are extremely fresh (just released in 2019). However, in practice, treatment should be tailored to the individual woman.
The IBCC chapter is located here.
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