Table 3.
Maintenance73, 80 | |
60 to 80 mL.h-1 OR UO + stool + insensible losses | Consider the volume used for drug administration |
Monitoring based on clinical observation | |
Replacement73, 74, 88, 89 | |
Titrate to systolic BP > 90 mmHg OR Shock index < 0.9 | Consider arterial line insertion if pressure control is difficult or there is severe bleeding |
Consider noninvasive hemodynamic monitoring | |
Preload before neuraxial anesthesia73, 74, 76, 77 | |
300 mL fluid challenge | Not routinely indicated |
Consider if high dose of anesthetic is administered | |
Consider if hydralazine is the antenatal antihypertensive | |
Oliguria73, 74, 77 | |
300 mL fluid challenge | Not routinely indicated |
Maintain UO ≥ 100 mL/4 h | If persistent oliguria, consider repeat the fluid challenge (in case of negative fluid balance) |
Consider noninvasive hemodynamic monitoring |
BP, Blood Pressure; UO, Urinary Output.