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Critical Care Master Class - At the Edge of the Ev ...
Critical Illness in Pregnancy Rice
Critical Illness in Pregnancy Rice
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Pdf Summary
The document is an educational presentation titled "Critical Care Master Class: At the Edge of the Evidence - Critical Illness and Pregnancy: When Two Lives Are on the Line," delivered by Dr. Todd W. Rice. The presentation focuses on medical complications in pregnant women that necessitate critical care and the management of both the mother and the fetus.<br /><br />Key sections of the document include physiological and pathophysiological changes in pregnancy, respiratory and cardiac changes, unique aspects of critical care for pregnant patients, and specific conditions aggravated or unique to pregnancy, such as HELLP Syndrome, pre-eclampsia, and acute fatty liver of pregnancy.<br /><br />The presentation includes case studies that detail clinical scenarios of pregnant patients with different critical conditions, posing questions on diagnosis and management strategies. Each case includes vital signs, laboratory results, and physical exam findings to aid in differential diagnosis and treatment considerations.<br /><br />Also discussed are issues like oxygen delivery and mechanical ventilation changes needed during pregnancy, highlighting adaptations in clinical care due to altered physiological states. Guidance on managing hemodynamics, respiratory support, and complications such as thromboembolic events are provided.<br /><br />The document uses pre-and post-test questions to assess understanding, with one focusing on a pregnant woman presenting with right upper quadrant pain, and labs suggestive of HELLP Syndrome, urging immediate delivery of the baby.<br /><br />Overall, the presentation underscores the delicate balance required in managing critical conditions in pregnant patients, emphasizing the unique considerations for treatment and the potential overlap between mother and fetal well-being.
Keywords
critical care
pregnancy
medical complications
physiological changes
HELLP Syndrome
pre-eclampsia
acute fatty liver
respiratory support
thromboembolic events
fetal well-being
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American College of Chest Physicians
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