The Kidney of the Critically Ill Pregnant Woman

1st Edition - September 17, 2024
Editors: Jorge Hidalgo, Carlos Montufar, Javier Perez-Fernandez
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 2 1 4 7 3 - 8
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 2 1 4 7 4 - 5

The Kidney of the Critically Ill Pregnant Woman is a volume in the Critical Care in Obstetrics series. It’s a novel reference to educate physicians, nurses, and all allied healthca… Read more

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The Kidney of the Critically Ill Pregnant Woman is a volume in the Critical Care in Obstetrics series. It’s a novel reference to educate physicians, nurses, and all allied healthcare personnel caring for pregnant women with kidney compromise. The authors have gathered the best evidence-based material explicitly focused on severe kidney complications in pregnant patients and postpartum. Among the chapters, the book covers medical-surgical complications that any patient can present, such as acute kidney injury during pregnancy, kidney disease, and hypertension complications specific to pregnancy.

Cover image
Title page
Table of Contents
Copyright
Contributors
Preface
Chapter 1. Pregnancy induced kidney physiological alterations
Anatomic changes
Hemodynamic changes
Renal tubular changes
Conclusion
Chapter 2. Prenatal care, risk assessment, and counseling
Categorization of renal disease in pregnancy
Prepregnancy counseling and optimization for pregnancy
Prepregnancy care
Pregnancy care
Antenatal care
Specific conditions
Conclusion
Chapter 3. Signs and symptoms of kidney disease in the critically ill pregnant patient
Acute kidney injury in pregnancy
Prerenal causes
Renal causes
Postrenal causes
Nonpregnancy-related causes
Pregnancy with chronic kidney disease
Chapter 4. Nutrition in pregnant women with renal involvement
Nutritional assessment
Weight gain
Nutrition in dialysis
Vitamins
Nutrition with kidney transplantation
Nutritional therapy
Indications for nutritional support
Chapter 5. Fluid management in critically ill pregnant patient
Introduction
Physiological changes in pregnancy
Common indications of fluid therapy in critically ill pregnant
Fluid compartments
Common fluids
Colloids
Hemodynamic monitoring
Specific maternal conditions
Obstetrics hemorrhage
Trauma in pregnancy
Maternal sepsis
Heart failure in pregnancy
Pulmonary embolism
Chapter 6. Acute kidney injury in a pregnant woman
Introduction
Epidemiology of Pr-AKI and maternal/fetal/renal outcomes
Diagnosis of Pr-AKI
Conclusion
Chapter 7. Preeclampsia and HELLP syndrome
Introduction
Diagnosis
Classification
Pathogenesis preeclampsia and HELLP
Complication of HELLP syndrome
Management
Conclusion
Chapter 8. Hemolytic uremic syndrome in pregnancy
Definition and background
Diagnosis
Management
Prognosis
Chapter 9. Urinary tract infection and acute pyelonephritis in pregnancy
Definition
Signs and symptoms
Etiology
Risk factors
Types
Medical monitoring
Special cases
Chapter 10. Lupus nephritis and pregnancy
Introduction
Main changes in immune response strategy during pregnancy
Preconception risk analysis in SLE-affected women
LN-associated maternal and fetal complications during pregnancy
Evidence-based consensus on drug management in pregnancy with LN
Conclusion
Chapter 11. Pregnancy with preexisting kidney disease
Introduction
Physiological changes in pregnancy
A chronic kidney disease in pregnancy
Pregnancy in end-stage renal disease in pregnancy
Pregnant patients for transplant and donation candidates
Specific disease to produce chronic kidney disease in pregnancy
Chapter 12. Hypertensive disorders of pregnancy
Definition
Pathophysiology
Evaluation and management
Renal impact of preeclampsia
Chapter 13. Glomerular diseases in pregnancy
Introduction
Effects of pregnancy on glomerular disease
Effects of glomerular disease on pregnancy
Diagnosis
Management of individual disease
General care
Delivery
Postpartum
Chapter 14. Renal biopsies during pregnancy
Introduction
Renal biopsy indications during pregnancy
Renal biopsies risk/benefit ratio during pregnancy
Conclusion
Chapter 15. Approach to glomerular diseases in pregnancy
Glomerular diseases in pregnancy
Classification of glomerular diseases
Proteinuria in pregnancy
Diagnostic approach
Therapeutic approach
Nephrotic syndrome in pregnancy
Nephritic syndrome in pregnancy
Chapter 16. Continuous renal replacement therapy and pregnancy
Introduction
Physiological changes in kidneys during pregnancy
Epidemiology
Etiology
Management of renal dysfunction in pregnancy
Continuous renal replacement therapy
Basic principles diffusion
Convection
Different modalities of CCRT
Components of RRT
Indications of starting CRRT
Special concerns
Renal transplantation
Summary
Chapter 17. Pregnancy and chronic kidney disease
Introduction
Pregnancy in women with CKD
Management of pregnancy and complications in women with CKD
Conclusion
Chapter 18. Pregnancy in kidney transplant patients: Considerations and management
Understanding the intersection of kidney transplants and pregnancy
Managing pregnancy in kidney transplant patients: “Historical consideration”
Preconception counseling and planning
Management of pregnancy-related AKI in kidney transplant recipients
Pregnancy outcomes
Fetal outcomes
Risk of infections
Immunization
Labor and delivery
Postpartum care and monitoring
Lactation
Conclusion
Index

Jorge Hidalgo

Dr. Jorge Hidalgo is a Professor of Critical Care and the Head of the Division of Critical Care at Karl Heusner Memorial Hospital in Belize, Central America. He is the President Elect of the World Federation of Societies of Critical Care and Intensive Care Medicine. He has won several awards with the highest recognition and the Director of the very prestigious ACP Review Course hosted by the Paraguay Society of Internal Medicine. Due to his outstanding contribution to the Society of Critical Care Medicine he received the Presidential Citation Award. And Global Safar Award, becoming the First Latin American Intensivist to get this Nomination. He is involved in numerous congresses and a well-recognized international speaker.

Affiliations and expertise

Professor and Head, Division of Critical care, Karl Heusner Memorial Hospital, Belize, Central America

Carlos Montufar

Dr. Carlos Montufar is the Head of the Obstetrics Intensive Care Unit of the "Dr. Arnulfo Arias M." Hospital Complex in Panama City, Panama. He is the creator and National Director of the Fellowship Program in Critical Care Obstetrics in Panama. He has written chapters in different texts on the subject of obstetric complications and obstetric intensive care. In addition, he has participated in clinical research studies, publishing papers in different International Medical Journals. Dr. Montufar had an important participation in the creation and structuring of the Fundamental Critical Care Support: Obstetrics course, endorsed by the Society of Critical Care Medicine (SCCM). He is a member of SCCM, and is designated as the International Ambassador of Society of Maternal Fetal Medicine (SMFM). Dr. Montufar has participated in countless international conferences as an exhibitor from 1997 to date.

Affiliations and expertise

Head of the Obstetrics Intensive Care Unit, Dr. Arnulfo Arias M Hospital Complex, Panama City, Panama

Javier Perez-Fernandez

Dr. Javier Perez-Fernandez serves as Medical Director of the Critical Care Services at Baptist Hospital of Miami. He is a Clinical Associate Professor of Medicine at Florida International University, Herbert Wertheim College of Medicine and Professor Pulmonary and Critical Care Medicine at Larkin University, Miami-Dade Florida. He is the Secretary-General of the World Federation of Intensive Care. Dr. Perez-Fernandez manages a large group of critical care physicians, South Florida Critical Care Services, overseeing the operations of seven ICUs with over 350 beds. He has been a regional and national recognized leader during the COVID-19 pandemic with multiple TV and media appearances and consulting services for several national and international organizations. He has been directly involved in the development of Rapid Response Teams, technology implementation and “open ICU” models. He has lectured worldwide and author of many original publications with the Society of Critical Care Medicine.

Affiliations and expertise

Medical Director, Critical Care Services Baptist Hospital of Miami, Florida, USA

Life Sciences

Physical Sciences & Engineering

Social Sciences & Humanities

Health

The Kidney of the Critically Ill Pregnant Woman

Purchase options

Institutional subscription on ScienceDirect

Jorge Hidalgo

Carlos Montufar

Javier Perez-Fernandez