Bleeding in Late Pregnancy
Fig. 5.1 Placenta previa. Ultrasound image showing placenta covering cervical os (arrowheads). Image courtesy of Ian Suchet Management of placenta previa depends on gestational age and stability of the mother….
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Imaging Considerations in Pregnancy
Gestational period Effects Estimated threshold dosea Before implantation (0–2 weeks after conception) Death of embryo or no consequence (all or none) 50–100 mGy Organogenesis (2–8 weeks after conception) Congenital anomalies…
Non-obstetric Abdominal Pain in Pregnancy
Gynecologic Genitourinary Gastrointestinal Ovarian torsion Urinary tract infection Appendicitis Ovarian cysts Pyelonephritis Cholelithiasis/cholecystitis Fibroids Urolithiasis Pancreatitis Round ligament pain – Diverticulosis/diverticulitis Vaginal infections – Bowel obstruction Pelvic inflammatory disease –…
Cardiac Arrest in the Pregnant Patient
Causes of cardiac arrest in pregnancy Obstetric Non-obstetric Iatrogenic Eclampsia Pulmonary embolism General anesthesia-induced Amniotic fluid embolism Sepsis Regional anesthesia-induced Postpartum hemorrhage Trauma Other medications (e.g., magnesium) Antepartum hemorrhage Myocardial…
Trauma in Pregnancy
Fig. 11.1 Anatomic and Physiologic Considerations of Pregnancy Emergency Department Evaluation and Management Primary Survey The general principles of Advanced Trauma Life Support (ATLS) apply to all pregnant trauma patients,…
Premature Rupture of Membranes and Preterm Labor
Method Result Nitrazine Amniotic fluid pH 7.1–7.3 turns nitrazine paper yellow; >7.3 is blue Ferning Amniotic fluid crystallizes and appears like a fern, identified under microscope Pooling on speculum exam…
Anesthetic management of the patient with extracorporeal membrane oxygenator support
The use of short-term mechanical circulatory support in the form of extracorporeal membrane oxygenation (ECMO) in adult patients has increased over the last decade. Cardiothoracic anesthesiologists may care for these…
Long-term outcomes and management of lung transplant recipients
Lung transplantation is an established treatment for patients with end-stage lung disease. Improvements in immunosuppression and therapeutic management of infections have resulted in improved long-term survival and a decline in…
Acute postoperative management after lung transplantation
Despite many advances in the field of lung transplantation, lung transplant recipients have the lowest median survival of any solid organ transplant population. Complications such as reperfusion injury, graft rejection,…
Intraoperative anesthetic management of lung transplantation patients
Lung transplantation is a high-risk procedure that requires a highly trained cardiothoracic anesthesiologist and a considerable degree of vigilance. In the 50 years since the first lung transplantation, improvements in…
