Guidelines for the management of women with severe pre-eclampsia

被引：23

作者：

Bonnet, Marie-Pierre ^{[1
,2
]}

Garnier, Marc ^{[3
]}

Keita, Hawa ^{[4
]}

Compere, Vincent ^{[5
]}

Arthuis, Chloe ^{[6
]}

Raia-Barjat, Tiphaine ^{[7
]}

Berveiller, Paul ^{[8
,9
,10
]}

Burey, Julien ^{[3
]}

Bouvet, Lionel ^{[11
,12
]}

Bruyere, Marie ^{[13
]}

Castel, Adeline ^{[14
]}

Clouqueur, Elodie ^{[15
]}

Estevez, Max Gonzalez ^{[16
]}

Faitot, Valentina ^{[17
]}

Fischer, Catherine ^{[18
]}

Fuchs, Florent ^{[19
,20
]}

Lecarpentier, Edouard ^{[21
,22
]}

Le Gouez, Agnes ^{[23
]}

Rigouzzo, Agnes ^{[1
]}

Rossignol, Mathias ^{[24
,25
]}

Simon, Emmanuel ^{[26
,27
]}

Vial, Florence ^{[28
]}

Vivanti, Alexandre J. ^{[29
]}

Zieleskiewicz, Laurent ^{[30
,31
]}

Senat, Marie-Victoire ^{[32
]}

Schmitz, Thomas ^{[2
,33
]}

Sentilhes, Loic ^{[34
]}

机构：

[1] Sorbonne Univ, Armand Trousseau Univ Hosp, Dept Anaesthesiol & Intens Care, Assistance Publ Hop Paris,GRC 29,DMU DREAM, Paris, France

[2] Univ Paris, Ctr Rech Epidemiol & Stat, Sorbonne Paris Cite CRESS, U1153,INSERM,Obstet Perinatal & Paediat Epidemiol, Paris, France

[3] Sorbonne Univ, Tenon Univ Hosp, AP HP, GRC 29,DMU DREAM,Dept Anesthesiol & Crit Care Med, Paris, France

[4] Univ Paris, Necker Enfants Malad Hosp, Assistance Publ Hop Paris, Dept Anaesthesiol & Intens Care, Paris, France

[5] Rouen Univ Hosp, Dept Anaesthesiol & Crit Care, Rouen, France

[6] Nantes Univ Hosp, Mother & Child Hosp, Dept Obstet & Gynaecol, Nantes, France

[7] Univ St Etienne Jean Monnet, Dept Gynaecol Obstet & Reprod Med, St Etienne Univ Hosp, INSERM,U1059,SainBioSE, F-42023 St Etienne, France

[8] Poissy St Germain Hosp, Dept Obstet & Gynaecol, Poissy, France

[9] Univ Paris Saclay, BREED, INRAE, UVSQ, Jouy En Josas, France

[10] Ecole Natl Vet Alft, BREED, Maison Alft, France

[11] Hosp Civils Lyon, Mother & Child Hosp, Dept Anaesthesiol & Intens Care, Bron, France

[12] Univ Lyon, Claude Bernard Lyon 1, Villeurbanne, France

[13] Univ Paris Saclay, Bicetre Univ Hosp, Assistance Publ Hop Paris, Dept Anaesthesiol Intens Care & Perioperat Med, Le Kremlin Bicetre, France

[14] Paule de Viguier Univ Hosp, Dept Anaesthesiol & Intens Care, Toulouse, France

[15] Tourcoing Hosp, Dept Obstet & Gynaecol, Tourcoing, France

[16] Lille Univ Hosp, Jeanne de Flandre Matern Hosp, Dept Anaesthesiol Intens Care & Perioperat Med, Lille, France

[17] Strasbourg Univ Hosp, Hautepierre Hosp, Dept Anaesthesiol & Intens Care, Strasbourg, France

[18] Cochin Univ Hosp, Assistance Publ Hop Paris, Dept Anaesthesiol & Intens Care, Paris, France

[19] Montpellier Univ Hosp, Arnaud de Villeneuve Hosp, Dept Obstet & Gynaecol, Montpellier, France

[20] Univ Montpellier, Inst Desbrest Epidemiol & Sante Publ IDESP, IURC, UMR,INSERM, Campus Sante, Montpellier, France

[21] Univ Paris Est Creteil, Dept Gynaecol Obstet & Reprod Med, CHIC Creteil, Creteil, France

[22] Inst Biomed Henri Mondor, INSERM, U955, Creteil, France

[23] Antoine Beclere Hosp, Assistance Publ Hop Paris, Dept Anaesthesiol & Intens Care, Clamart, France

[24] Univ Paris, Lariboisiere Univ Hosp, Assistance Publ Hop Paris, Dept Anaesthesiol & Intens Care, Paris, France

[25] Univ Paris, Lariboisiere Univ Hosp, Assistance Publ Hop Paris, SMUR, Paris, France

[26] Dijon Bourgogne Univ Hosp, Dept Gynaecol Obstet & Reprod Biol, Dijon, France

[27] Univ Bourgogne, UFR Sci Sante Dijon, Dijon, France

[28] Nancy Univ Hosp, Dept Anaesthesiol & Intens Care, Nancy, France

[29] Univ Paris Saclay, Antoine Beclere Univ Hosp, Assistance Publ Hop Paris, Div Obstet & Gynaecol, Paris, France

[30] Univ Aix Marseille, Hop Nord, Assistance Publ Hop Marseille, Dept Anaesthesiol & Intens Care, Marseille, France

[31] Univ Aix Marseille, Ctr Cardiovasc & Nutr Res C2VN, INRA, INSERM, Marseille, France

[32] Univ Paris Saclay, Dept Gynaecol & Obstet, Bicetre Hosp, Assistance Publ Hop Paris,UVSQ,CESP,INSERM, Villejuif, France

[33] Univ Paris, Dept Gynaecol & Obstet, Robert Debre Univ Hosp, Assistance Publ Hop Paris, Paris, France

[34] Bordeaux Univ Hosp, Alienor dAquitaine Matern Hosp, Dept Obstet & Gynecol, Bordeaux, France

来源：

ANAESTHESIA CRITICAL CARE & PAIN MEDICINE | 2021年 / 40卷 / 05期

关键词：

Guidelines; Severe pre-eclampsia; Maternal morbidity; Neonatal morbidity; PREGNANCY-INDUCED HYPERTENSION; REVERSIBLE ENCEPHALOPATHY SYNDROME; POSTPARTUM MAGNESIUM-SULFATE; INTRAVENOUS LABETALOL; CESAREAN DELIVERY; ORAL NIFEDIPINE; RISK-FACTORS; VENOUS THROMBOEMBOLISM; PULMONARY-EMBOLISM; TRACHEAL INTUBATION;

D O I：

10.1016/j.accpm.2021.100901

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Objective: To provide national guidelines for the management of women with severe pre-eclampsia. Design: A consensus committee of 26 experts was formed. A formal conflict-of-interest (COI) policy was developed at the onset of the process and enforced throughout. The entire guidelines process was conducted independently of any industrial funding. The authors were advised to follow the principles of the Grading of Recommendations Assessment, Development and Evaluation (GRADE (R)) system to guide assessment of quality of evidence. The potential drawbacks of making strong recommendations in the presence of low-quality evidence were emphasised. Methods: The last SFAR and CNGOF guidelines on the management of women with severe pre-eclampsia were published in 2009. The literature is now sufficient for an update. The aim of this expert panel guidelines is to evaluate the impact of different aspects of the management of women with severe preeclampsia on maternal and neonatal morbidities separately. The experts studied questions within 7 domains. Each question was formulated according to the PICO (Patients Intervention Comparison Outcome) model and the evidence profiles were produced. An extensive literature review and recommendations were carried out and analysed according to the GRADE (R) methodology. Results: The SFAR/CNGOF experts panel provided 25 recommendations: 8 have a high level of evidence (GRADE 1+/-), 9 have a moderate level of evidence (GRADE 2+/-), and for 7 recommendations, the GRADE method could not be applied, resulting in expert opinions. No recommendation was provided for 3 questions. After one scoring round, strong agreement was reached between the experts for all the recommendations. Conclusions: There was strong agreement among experts who made 25 recommendations to improve practices for the management of women with severe pre-eclampsia. (C) 2021 Societefranc , aise d'anesthesie et de reanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.

引用

页数：19

共 156 条

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