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Maternal collapse

obstetrics

QuestionAnswer
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
Created by: IonaDel