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Critical Care in Pregnancy Part II
Critical Care in Pregnancy Part II
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Pdf Summary
Critical Care Issues in Pregnancy: A Case-Based Approach is a document that discusses the normal physiology and general critical care principles related to pregnancy. It also highlights various critical care issues and complications that can arise during pregnancy, such as preeclampsia/eclampsia, hemorrhage, respiratory failure, hepatic disorders, and hypertensive disorders.<br /><br />The document provides statistics related to critical care in pregnancy, stating that pregnant and post-partum women account for 0.4-16% of ICU admissions. The incidence of critical care admissions is 0.7-13.5 per 1000 deliveries, with a mortality rate of 3.3% in developed countries and 14% in developing countries. It is estimated that 1-3% of pregnant women require critical care services each year in the US, totaling 40,000-120,000 women per year.<br /><br />The document also discusses the normal physiological changes that occur during pregnancy in the respiratory and cardiovascular systems. It explains how minute ventilation, tidal volume, and respiratory rate are affected during pregnancy. It also covers the changes in cardiac output, systemic vascular resistance, total blood volume, and fluid physiology in pregnancy.<br /><br />Other topics discussed include gas exchange, dyspnea, drug classifications, hemodynamics, intubation, and mechanical ventilation in pregnancy. The document emphasizes the need for collaboration between different medical specialties, such as pulmonologists, intensivists, obstetricians, neonatologists, and specialty nursing.<br /><br />In conclusion, the document provides information on various critical care issues that can arise during pregnancy and highlights the unique physiological changes that occur in pregnant women. It serves as a valuable resource for healthcare professionals managing critical care in pregnant patients.
Keywords
Critical Care Issues in Pregnancy
preeclampsia/eclampsia
hemorrhage
respiratory failure
hepatic disorders
hypertensive disorders
ICU admissions in pregnancy
physiological changes in pregnancy
gas exchange in pregnancy
collaboration in critical care
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