SCCM Resource Library-Year in Review: Anesthesiology

Video Transcription

Video Summary

Dr. Emily Naum presents on the topic of perioperative intensive care for high-risk obstetric patients. She begins by highlighting the increase in severe maternal morbidity and mortality rates over the past two decades, with conditions such as hemorrhage and hypertensive disorders being the leading causes for ICU admission. Racial and ethnic disparities in maternal health outcomes are also discussed. Dr. Naum emphasizes the importance of early recognition of complications and the implementation of comprehensive early warning systems to improve outcomes for these patients. She also discusses the unique physiological changes that occur during pregnancy, which can affect the detection of deterioration in pregnant patients. Various scoring systems and tools for detecting critical illness in obstetric patients are reviewed, including the MEW criteria and the Modified Early Obstetric Warning Score. Dr. Naum concludes by discussing the challenges in delivering critical care to obstetric patients and the potential for non-traditional critical care administration models, such as the Cosmic Paradigm, which involves remote ICU telemedicine services and close monitoring on the labor and delivery floor. She highlights the need for continued research and improvement in the care of high-risk obstetric patients to reduce maternal morbidity and mortality rates.

Asset Subtitle

Professional Development and Education, Procedures, Quality and Patient Safety, 2022

Asset Caption

This year-in-review session will consist of three parts. First will be an overview of high-impact perioperative intensive care medicine articles from the past year. Next will be two perspectives on perioperative intensive care in specific settings (liver transplantation and high-risk obstetrics).

Learning Objectives:
-Identify top perioperative intensive care articles from 2021
-Recognize key perioperative management priorities in the liver transplantation and obstetric critical care patient
-Discuss opportunities to improve care and outcomes after hepatic transplantation and high-risk pregnancy

Meta Tag

Content Type Presentation

Knowledge Area Professional Development and Education

Knowledge Area Procedures

Knowledge Area Quality and Patient Safety

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Professional Development

Tag Anesthesia

Tag Evidence Based Medicine

Year 2022

Keywords

perioperative intensive care

high-risk obstetric patients

severe maternal morbidity

mortality rates

hemorrhage

hypertensive disorders

racial and ethnic disparities

early recognition of complications

comprehensive early warning systems

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