Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-11

11_Obstetric Emergencies

Pdf Summary

This presentation discusses obstetric emergencies, focusing on physiological changes during pregnancy, diagnosis, and management of conditions like pre-eclampsia, eclampsia, and HELLP syndrome. Physiological changes in cardiovascular, respiratory, gastrointestinal, renal, and hematologic systems are outlined. Hypertensive disorders including preeclampsia and eclampsia are explained, with details on severe preeclampsia criteria and management strategies. The HELLP syndrome, characterized by hemolysis, elevated liver enzymes, and low platelet count, is discussed, emphasizing urgent delivery and management options.<br /><br />The document covers scenarios such as maternal hypertension, hemorrhagic shock, peripartum cardiomyopathy, trauma, and thromboembolic diseases specific to pregnancy. Additionally, it touches on topics like tocolytic-associated pulmonary edema, asthma, COVID-19, and maternal sepsis. Diagnostic approaches, therapeutic interventions, and drug considerations during pregnancy are highlighted.<br /><br />Guidelines for managing complications like pulmonary embolism, amniotic fluid embolism, and venous air embolism are detailed. The role of respiratory support, fetal monitoring during resuscitation, and imaging considerations in pregnancy are also addressed. The importance of careful drug selection and the impact on fetal health are emphasized. Overall, the presentation provides a comprehensive overview of critical care considerations in obstetric emergencies.

Keywords

obstetric emergencies

physiological changes

preeclampsia

eclampsia

HELLP syndrome

maternal hypertension

hemorrhagic shock

thromboembolic diseases

pulmonary embolism

fetal monitoring

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