Traitement hospitalier du syndrome d'hyperstimulation ovarienne sévère

References

DOI: 10.1111/1471-0528.70195

• Acutely dehydrated women may need intravenous fluid therapy to correct fluid balance, followed by oral fluids to maintain hydration.
• Crystalloids are useful for the initial correction of dehydration in women who are unable to maintain adequate oral intake.
• Human albumin solution 20% may be used as a plasma volume expander in doses of 50–100 g (100 mL), infused over 4 h and can be repeated 4 to 12 hourly as required.
• Analgesia with paracetamol and opiates, if required, is appropriate, while NSAIDs should be avoided as they may compromise renal function.
• Some women may need effective analgesia and antiemetics to maintain adequate fluid balance.
• Women admitted to hospital with OHSS should be prescribed anti-embolism stockings and receive LMWH prophylaxis.
• Paracentesis should be carried out under ultrasound guidance and can be performed abdominally or vaginally.
• Intravenous colloid therapy should be considered when large volumes of fluid have been removed by paracentesis.
• A chest drain may be required if ongoing symptoms related to pleural effusion.