This study aims to assess and analyze volume status in preeclamptic patients and compare these parameters with those of normotensive pregnant ones based on the change in internal jugular vein ultrasound-based indices.
Singleton parturients from 18 to 40 years old.
Normotensive group: uncomplicated normotensive pregnancy with systolic blood pressure below 140 mmHg and diastolic blood pressure below 90mmHg without proteinuria.
Proteinuria (≥300 mg in a 24-hour urine sample)
Alb/Cr ratio ≥30 mg/mmol,
Parturients with pre-existing cardiac & vascular disease affecting blood volume and vascular compliance: (Valvular or congenital heart disease, arrhythmia, previous history of venous thromboembolism, chronic kidney disease, gestational diabetes).
multiple gestations
known thyroid disorders or chronic hypertension
patients with BMI >40 and patients requiring emergency delivery.
Patients admitted at obstetric theater in Tanta University Hospital
Cohort
Prospective
Not listed
Measuring internal jugular vein (IJV) collapsibility index
Measuring internal jugular vein (IJV) collapsibility index at end expiratory phase just before the induction of anesthesia and its correlation with normotensive parturients to determine the cut off value of fluid status in preeclamptic patient
Association between internal jugular vein ultrasound-based indices and severity of Preeclampsia.
Value of internal Jugular vein collapsibility index in predicting post spinal hypotension
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