Help for the HELLP syndrome
- T J Pousti, G T Tominaga, G Scannell
- Intensive Care World
In 1982 Weinstein reported a syndrome in pregnancy characterized by haemolysis, elevated liver enzymes and low patelet count, the HELLP syndrome, and described it as a severe consequence of pre-eclampsia.' Patients may present with a wide variety of signs and symptoms but evidence ofpre-eclampsia may not be present.2 Multisystem failure may occur due to widespread microcirculatory dysfunction. This case demonstrates the range of supportive therapy required in the intensive care management of such patients.