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Ovarian hyperstimulation syndrome: A review for emergency clinicians by Douglas Timmons; Tim Montrief; Alex Koyfman; Brit Long is a Medicine article available to read on EtoBox.

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## Introduction: A great deal of literature has recently evaluated the prevention and management of ovarian hyperstimulation syndrome (ohss) in the outpatient setting, but there remains a dearth of research evaluating ohss in the emergency department (ed) and its management. ## Objective: This narrative review evaluates the underlying pathophysiology and clinical manifestations of ohss and discusses approaches to patient care in the ed based on current literature. ## Discussion: Ohss is an iatrogenic complication caused by an excessive response to controlled ovarian stimulation during assisted reproductive cycles (art). ohss complicates up to 30% of art cycles, and many of these patients seek initial care in the ed. risk factors for the development of ohss include age < 35, history of polycystic ovarian syndrome or previous ohss, and pregnancy. emergency physicians will be faced with several complications including ascites, abdominal compartment syndrome, renal dysfunction, acute respiratory distress syndrome, thromboembolic disease, and hemodynamic instability. critical patients should be evaluated in the resuscitation bay, and consultation with the primary obstetrics/gynecology t

Who reads Ovarian hyperstimulation syndrome: A review for emergency clinicians?

Author

Douglas Timmons; Tim Montrief; Alex Koyfman; Brit Long

Publisher

Elsevier Science; Elsevier ; W. B. Saunders Co., Ltd.; Elsevier BV (ISSN 1532-8171)

Published

2019

Language

EN

Field

Medicine (Health Sciences)