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Maternal collapse
obstetrics
Question | Answer |
---|---|
Causes of maternal collapse | 1.Thromboembolism (most common) 2. Hypoxia ex CCF 3. Amniotic fluid embolus 4. intracranial haemorrhage 5. Sepsis 6. Drug overdose/toxicity (MgSO4, LocAnaesth) 7. Anaphylaxis |
physiologic changes that make resus difficult in preg | 1. Aortocaval compression due to reduced CO 2. Increased plasma volume leading to dilutional anaemia 3. SVResist decreased sequestering blood during CPR 4. Laryngeal oedema causing difficult intubation |
what would your initial management of this pt be? first call 4 help | 1. LLP 2 Assess for central pulse 3. Begin chest compressions 4. Protect airway with LMA/ intubation 5. Breathing: supplemental O2 with bag valve mask ventilation 6. Begin chest compressions 7. 2 Large bore IV cannulae w/ aggressive volume resus |
Who would you want to call for help | Snr midwife, most snr resident, resident anaesthetist, porter for transport |