trauma shock and critical care obstetrics

... risks and poten-tial for long-term morbidity, a multidisciplinary team of care providers that represents critical care, maternal-fetal medicine, obstetric critical care, and nephrology and neonatology ... measures, and ventilation support The plan of care for critically ill obstetric patients is based on the knowledge that maternal stabilization and survival are the goals of clinical care, and interventions ... com-plications or critical illness Vaginal delivery requires less oxygen and metabolic demand when compared to Cesarean delivery and carries a lower risk for pulmonary embolism and surgical site...

Ngày tải lên: 21/01/2020, 00:13

... & critical care obstetrics / editors, Nan H Troiano, Carol J Harvey, Bonnie Flood Chez 3rd ed p ; cm High-risk and critical care obstetrics Rev ed of: AWHONN's high-risk and critical care ... Flood IV AWHONN’s high-risk and critical care intrapartum nursing V Title: High-risk and critical care obstetrics [DNLM: 1 Obstetrical Nursing methods 2 Critical Care 3 Delivery, Obstetric nursing ... Michael A Belfort, MD, PhD Professor and Chair, Obstetrics and Gynecology Baylor College of Medicine Given Foundation Professor and Chairman Department of Obstetrics and Gynecology New York Weill Cornell...

Ngày tải lên: 23/01/2020, 07:57

... pre-eclampsia/HELLP syndrome 239 septic shock 587–8 spinal injury 230–1 systemic lupus erythematosus 478 Couvelaire uterus 309 Creutzfeldt-Jakob disease, blood transmission 178 critical care nursing 16–29 cardiac ... 16–17 mechanical ventilation 24–9, 25, 26, 26, 28, 28 preparation for caring 29 standards of care 16, 17 technology 16 critical illness polyneuropathy 138 cromolyn sodium 331 cryoprecipitated antihemophilic ... septic shock 585–6 distributive (vasodilatory) shock 572 diuretics, fetal effects 631–2 dobutamine, fetal effects 631 dopamine fetal effects 631 post-resuscitation 120 Doppler ultrasound and cardiomyopathy...

Ngày tải lên: 05/07/2014, 16:20

... Trang 3Critical Care ObstetricsTrang 5Critical Care Obstetrics E D I T E D B Y Professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, University ... General for Obstetrics and Maternal - Fetal Medicine and Chief, Obstetrics and Maternal - Fetal Medicine San Antonio Military Medical Center and Vice - Chairman, Department of Obstetrics and Gynecology, ... Medicine and Women and Children ’ s Services Department of Obstetrics and Gynecology Saint Alphonsus Regional Medical Center Boise, ID, USA D Ware Branch Professor Department of Obstetrics and...

Ngày tải lên: 05/07/2014, 16:20

... to 14 intensive care units in southern England . Crit Care Med 2001 ; 29 : 770 – 775 . 6 Baskett TF , Sternadel J . Maternal intensive care and near - miss mor- tality in obstetrics . Br J ... Scotsdale Healthcare, Scottsdale, Arizona and Department of Obstetrics and Gynecology, University of Arizona College of Medicine, Tucson, AZ, USA Introduction Critical care unit organization ... to critical care was convened less than 30 years ago to establish guidelines for protocols of care, design and staffi ng of these units [2] . Currently there are more than 6000 critical care...

Ngày tải lên: 05/07/2014, 16:20

... of patient care Obstetric critical care can benefi t from data in the critical care literature that address family and patient needs in a critical care setting Obstetric literature and extensive ... (14%), and pneumonia (12%) Overall, 43 of the 51 patients (84%) included in the study were cared for in labor and delivery, with care directed by a critical care perinatologist, a critical care ... resuscitate and stabilize the newborn should be anticipated and addressed in the plan of care In addition to physiologic concepts which provide a frame-work for critical care obstetric nursing care,...

Ngày tải lên: 05/07/2014, 16:20

... eds. Critical Care Obstetrics . Medical Economics Books, Oradell, New Jersey, 1987 . 2 Hankins GDV . Foreword . In: Harvey CJ , ed. Critical Care Obstetrical Nursing . Gaithersburg, Maryland ... (+29%) and stroke parameters, careful control of maternal heart rate and cardiac preload. Cardiac o utput and s troke v olume Cardiac output is the product of heart rate and stroke volume, and ... In: Mandeville LK , Troiano NH , eds. AWHONN ’ S High - Risk and Critical Care Intrapartum Nursing , 2nd edn. Philadelphia : Lippincott , 1999 : 84 – 99 . 21 Troiano NH , Baird SM . Critical...

Ngày tải lên: 05/07/2014, 16:20

... prerequisites for implantation and normal placental and fetal growth It is important that obstetric care providers have a clear understanding of such physiologic adapta-tions, and how pre - existing ... Robson and co Figure 4.9 Percentage change in blood volume and venous hematocrit following vaginal or cesarean delivery (Reproduced by permission from Metcalfe J, Ueland K Heart disease and ... [137] and increase in excursion [138] On the other hand, both respiratory muscle function and ribcage compliance are unaffected by pregnancy [135] The relative con-tribution of the diaphragm and...

Ngày tải lên: 05/07/2014, 16:20

... Trang 5Critical Care Obstetrics, 5th edition Edited by M Belfort, G Saade, M Foley, J Phelan and G Dildy © 2010 Blackwell Publishing Ltd Renee A Bobrowski Department of Obstetrics and Gynecology, ... volume changes in pregnancy and the puerperium II Red blood cell loss and changes in apparent blood volume during and following vaginal delivery, cesarean section, and cesarean section plus total ... prolactin, and growth hormone in serum and amniotic fl uid throughout normal human pregnancy Am J Obstet Gynecol 1985 ; 151 : 878 – 884 191 Anderson JR Prolactin in amniotic fl uid and maternal...

Ngày tải lên: 05/07/2014, 16:20

... to leukemia and thrombocytopenia N Engl J Med 1979 ; 301 : 363 43 Nearman HS , Sampliner JE Respiratory monitoring In: Berk JL , Sampliner JE , eds Handbook of critical care , 3rd edn ... uptake and delivery in health and disease Clin Chest Med 1983 ; 4 : 139 18 Stock MC , Shapiro BA , Cane RD Reliability of SvO 2 in predicting A - VDO 2 and the effect of anemia Crit Care ... Crit Care Med 1973 ; 1 : 17 20 Perutz MF Hemoglobin structure and respiratory transport Sci Ann 1978 ; 239 : 92 21 Rackow EC , Astiz M Pathophysiology and treatment of septic shock...

Ngày tải lên: 05/07/2014, 16:20

... long - acting plasma volume - expanding agent that can be used in patients suffering from shock secondary to hemorrhage, trauma, sepsis, and burns It initially expands plasma volume by an amount ... ynamics and r enal f unction The infusion of fl uid remains a cornerstone of therapy when treating critically ill pregnant women with hypovolemia An understanding of the distribution and pharmacokinetics ... daltons [62] and is distributed unevenly between the intravascular (40%) and inter-stitial (60%) compartments [62] The normal serum albumin concentration is maintained between 3.5 and 5 g/dL and is...

Ngày tải lên: 05/07/2014, 16:20

... investigated immediately, with careful attention paid to avoiding cell trauma during blood collection Both thrombocytosis and leukocytosis release potas-sium from the platelets and WBCs during blood clotting ... level sampling and ECG The plan is to acutely manage the hyperkalemia and then achieve and maintain a normal serum level (Table 6.8 ) The mainstay of therapy for patients with acute and severe ... include both metabolic and respiratory alkalosis, sepsis, magnesium depletion, and renal failure (Table 6.9 ) Magnesium defi ciency is common in critically ill patients and also may cause hypocalcemia...

Ngày tải lên: 05/07/2014, 16:20

... complications on both mother and fetus Ongoing sup-portive and therapeutic care will be necessary, paying careful attention to common areas of injury and ongoing risk Care is best accomplished by ... Emergency Cardiovascular Care Circulation 2005 ; 112 ( 24 Suppl ): p IV152 Trang 10Critical Care Obstetrics, 5th edition Edited by M Belfort, G Saade, M Foley, J Phelan and G Dildy © 2010 Blackwell ... primary and secondary survey of BLS/ACLS should include an assessment of the fetal status and whether or not delivery of the fetus would be of benefi t to mother and/or fetus Morris and colleagues...

Ngày tải lên: 05/07/2014, 16:20

... requir-ing critical care to support and maintain a pregnancy may require resuscitation Thus, preparation is the fi rst step to assure neonatal resuscitation A careful review of the antepartum and peripartum ... initial steps include drying and warming, correct airway positioning, clearing the airway by suctioning of the mouth and nose, and assessment of respiratory effort, heart rate and color This should ... crytriag-ing, with good muscle tone and clear amniotic fl uid there is no further need for resuscitation and the infant may be handed to an eager mother The infant who is preterm, and who has any diffi culty...

Ngày tải lên: 05/07/2014, 16:20

... below 60/min, despite ventilation and chest compression, the fi rst action should be to ensure that ventilations and compressions are well coordinated and optimal and 100% oxygen is being used before ... lambs J Appl Physiol 1999 ; 160 : 634 – 649 Trang 6Critical Care Obstetrics, 5th edition Edited by M Belfort, G Saade, M Foley, J Phelan and G Dildy © 2010 Blackwell Publishing Ltd. Luis D ... Pacheco 1 & Labib Ghulmiyyah 2 1 Departments of Obstetrics, Gynecology and Anesthesiology, Maternal - Fetal Medicine - Surgical Critical Care, University of Texas Medical Branch, Galveston,...

Ngày tải lên: 05/07/2014, 16:20

... overdisten- tion (volutrauma), repeated opening and closing of collapsed alveoli (atelectrauma), excessive pressures (barotrauma), and biologic trauma induced by oxygen toxicity and infl ammatory ... lung injury (VILI) includes volutrauma, barotrauma, atelectrauma, and biotrauma. Volutrauma refers to the use of large tidal volumes leading to overinfl ation and overstretching of alveoli [60] ... with low levels of PEEP may lead to volutrauma, barotrauma, atelectrauma, and biotrauma. This is known as ventilator - induced lung injury (VILI) and is discussed in detail in the next section...

Ngày tải lên: 05/07/2014, 16:20

... Zheng D: Depression and all-cause and coronary heart disease mortality among adults with and without diabetes Diabetes Care 2005, 28:133-1345 De Groot M, Anderson R, Freedland KE, Clouse RE, Lustman ... recommendations for standard, comprehensive, and minimal care Diabetic Medicine 2006, 23:579-593 14 American Diabetes Association: Standards of Medical Care in Diabetes2009 Diabetes Care 2009, 32(Suppl ... Netherlands 2Department of Developmental and Clinical Psychology, Tilburg University, Tilburg, The Netherlands 3Department of Methodology and Statistics, Tilburg University, Tilburg, The Netherlands...

Ngày tải lên: 11/08/2014, 15:22

... investigation were approved by the Institutional Animal Care and Use Committee and conducted in accordance with guidelines in the Guide for the Care and Use of Laboratory Animals Adult male mongrel ... coronary blood flow and metabolism (oxygen supply/demand) is being intensely investigated and therapies that act to rebalance this relationship are primary goals in the treatment and management of ... delivery and promoting more efficient cardiac substrate utilization; i.e restoring the balance of myocardial oxygen supply and demand, are primary targets for advancing the treatment and management...

Ngày tải lên: 24/08/2014, 12:16

... (dimethyl biguanide) is attributed to Werner and Bell from Trinity College, Dublin, Ireland, in 1922 (6), and was a basis for further experimental and clinical studies on the potential therapeutic ... advanced age, and calorie restrictions (

Ngày tải lên: 12/07/2015, 15:49

... 02-09, Yingjiao, Mandy, Hua Pey, Regine and Wei Ting, and my unit mates, Sureerat, Nichanan and Poonna, for their kind support and words of encouragement, as well as the wonderful and joyful moments ... Singapore would be tougher and boring without having lovely and helpful seniors and friends around I would like to thank my seniors, Sharon and Jin Jing, for providing me guidance and help I also cherish ... is dedicated to my parents and family members as well as my boyfriend for their unflagging love, consistent care and understanding Without their great encouragement and support throughout my studies,...

Ngày tải lên: 11/09/2015, 09:56