Category Medical Specialty
CCC Critical Care compendium 340

Bispectral Index (BIS) Monitoring

Bispectral Index (BIS) Monitoring: BIS monitor was developed by Aspect Medical Systems; BIS = bispectral index; other 'depth of anaesthesia' monitors exist (e.g. Entropy)

CCC Critical Care compendium 1200

Isoniazid toxicity

Isoniazid toxicity, like other hydrazines, primarily cause life-threatening seizures and lactic acidosis through depletion of vitamin B6. The antidote is pyridoxine

CCC Critical Care compendium 340

Acute Fatty Liver of Pregnancy

Acute Fatty Liver of Pregnancy: hepatic dysfunction + microvesicular infiltration of hepatocytes; thought to be a variant of PET; fetal and maternal mortality = 20%

CCC Critical Care compendium 340

Burns and Pregnancy

Burns and Pregnancy: at risk of premature labour due to high levels of circulating prostaglandins; fluid replacement must cater for increased circulating volume

CCC Critical Care compendium 1200

Eclampsia

Eclampsia: life threatening situation for the mother and baby. 1:2000 pregnancies; most occur in 3rd trimester; 1/3 post-partum; usually with in 24hrs of delivery; vasogenic cerebral oedema from hypertensive encephalopathy

CCC Critical Care compendium 340

Haemorrhage and Pregnancy

Hemorrhage and Pregnancy: gravid uterus receives 15% of Q -> bleeding can be rapid; principle causes; abruption, placenta praevia, PPH; baby more at risk than mum

CCC Critical Care compendium 340

Influenza and Pregnancy

Influenza and Pregnancy: known high incidence of morbidity and mortality in mother and foetus in H1N1 infection and severe community acquired pneumonia; multidisciplinary team approach: O&G, NICU, anaesthetics, ICU; planned delivery of foetus (although the teams may have conflicting interests)