
Pleural Tap
Pleural Tap: Thoracocentesis; Diagnostic - determine the cause of pleural effusion. Therapeutic - remove excess pleural fluid to assist respiration and provide symptomatic relief.

Pleural Tap: Thoracocentesis; Diagnostic - determine the cause of pleural effusion. Therapeutic - remove excess pleural fluid to assist respiration and provide symptomatic relief.

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

Ovarian Hyperstimulation Syndrome OHSS: exogenous human chorionic gonadotropin (hCG) used to induce ovulation prior to harvesting

Obstetric and Gynaecology Literature Summaries

Renal and Urological Toxicity of Chemotherapy: chronic renal failure; acute renal failure; renal tubular dysfunction; haemorrhagic cystitis; dysuria

Peripartum Cardiomyopathy = dilated cardiomyopathy of unknown cause that occurs in the peripartum period; rare (1 in 15,000 deliveries); fatal in up to 50% of patients

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