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%
Category Medical Specialty
Amniotic Fluid Embolism (AFE)
Amniotic Fluid Embolism (AFE): diagnosis of exclusion; amniotic in maternal circulation not always pathognomonic; 1:25,000 live births
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
Cardiogenic Shock and Late Pregnancy
Cardiogenic Shock and Late Pregnancy: Two patients; High mortality; Planned delivery; Diagnose and treat cause
Cocaine Toxicity and Obstetrics
Cocaine Toxicity and Obstetrics:
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
Ectopic Pregnancy
Ectopic pregnancy = fertilized ovum which implants outside the lining of the uterus
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
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)
Acute Pulmonary Hypertension: Causes
Causes of Acute Pulmonary Hypertension
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
Paediatric Anaesthetic Equipment
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