Cardiac output measurements for guidance of perioperative intravenous hydration in an obstetric patient

The administration of regional anesthesia to women with moderately severe and severe pre-eclampsia is commonly preceded by intravenous hydration guided by central venous pressure (CVP) monitoring. We are reporting the case of a gravida with incipient HELLP syndrome whose fluid management before, during, and after cesarean section under continuous extradural block was guided by non-invasive cardiac output measurements.