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)
Causes of Acute Pulmonary Hypertension
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
Renal and Urological Toxicity of Chemotherapy: chronic renal failure; acute renal failure; renal tubular dysfunction; haemorrhagic cystitis; dysuria
Obstetric and Gynaecology Literature Summaries
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.