Intubation of the GI bleeder
Massive GI hemorrhage presents multiple challenges during intubation: obscured view of vocal cords; risk of aspiration; risk of haemorrhagic shock and haemodynamic instability; risk to staff from contact with body fluids
Massive GI hemorrhage presents multiple challenges during intubation: obscured view of vocal cords; risk of aspiration; risk of haemorrhagic shock and haemodynamic instability; risk to staff from contact with body fluids
AIRWAY ADJUNCTS Oropharyngeal Airways Nasopharyngeal Airways Facemasks LMA INTUBATION EQUIPMENT Laryngoscopes Tracheal Tubes ANAESTHETIC BREATHING SYSTEMS AYRE’S T-PIECE WITH JACKSON REES MODIFICATION BAIN SYSTEM CIRCLE ABSORPTION SYSTEM Mechanical Ventilation References and Links
Pelvic Inflammatory Disease (PID) includes: endometritis, chorioamnionitis, intra-amniotic infection syndrome, salpingitis, tubo-ovarian abscess, pelvic cellulitis, pelvic peritonitis
Obstetric and Gynaecology Literature Summaries
Renal and Urological Toxicity of Chemotherapy: chronic renal failure; acute renal failure; renal tubular dysfunction; haemorrhagic cystitis; dysuria
Physiology of Pregnancy
Pneumonia in Pregnancy: 2 patients; treatment dependent on stage of pregnancy (first trimester: avoidance of teratogenicity, third trimester: prevention of pre-term labour)
signs of severe sepsis may be masked by normal pregnancy changes
Pre-eclampsia and Eclampsia: multisystem disorder of pregnancy characterised by hypertension and organ system derangement; defective trophoblast invasion of the spiral arteries and abnormal trophoblast differentiation.
Pregnancy and Intensive Care: Common reasons for admission include hypertensive disorders; haemorrhage; respiratory failure; sepsis; trauma
Trauma and Pregnancy: leading cause of non-obstetric maternal mortality -> also has a high chance of fetal loss; ATLS approach (primary and secondary survey) including safe transport to trauma centre with obstetric care.
Venous thromboembolism in pregnancy: 25% of maternal mortality; x 5 increase in risk (venous stasis, hypercoaguable, vascular injury from delivery)
Paediatric Rapid Sequence Intubation. RSI is used to secure the airway quickly with an endotracheal tube and to prevent chance of regurgitation and aspiration