By Michael Foley, Jr., Thomas Strong, Thomas Garite
A distinct quick-reference advisor concentrating on the sensible bedside care of the significantly ailing pregnant sufferer "Now, during this 3rd variation of the Obstetric extensive Care handbook, Dr. Mike Foley and his colleagues have responded our questions. This ebook is gifted in a really sensible guide, offering a fingers- on method of our patients....Whether we paintings in a massive educational scientific middle with huge extensive care devices or in a small rural medical institution, this guide will function an enormous source for all of us... awarded in a truly functional sort that makes the interpretation from the written observe to motion effortless to undertake."--Steven G. Gabbe, MD, Senior vice chairman for overall healthiness Sciences, leader govt Officer, The Ohio country collage heart, Columbus, OH (from the foreword) Obstetric extensive Care guide offers instant hands-on tips for handling obstetric care sufferers within the serious care unit. featuring remedy info on usually encountered emergencies corresponding to obstetric hemorrhage, hypertensive crises, and cardiac disorder, in addition to much less often obvious problems akin to anaphylactoid syndrome of being pregnant, thyroid hurricane, and psychiatric problems, this can be the ideal source for busy clinicians who require authoritative how-to solutions the instant they're wanted. positive factors bargains step by step assistance for striking care of significantly ailing sufferers quite a few precis tables, algorithms, figures, boxed fabric, and illustrations Written in a mode that makes even the main complicated therapy protocol basic to enforce deals the services of world-renowned individuals contains NEW bankruptcy on psychiatric emergencies, and NEW content material on useful administration of ailments and issues akin to ovarian hyperstimulation syndrome, sympathetic hyperreflexia, drug toxicity, transfusion reactions, burns, and spider and snake bites
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Extra info for Obstetric Intensive Care Manual, Third Edition
McVay PA, Hoag RW, Hoag MS, Toy PT. Safety and use of autologous blood donation during the third trimester of pregnancy. Am J Obstet Gynecol. 1989 Jun;160(6):1479-1486. 28. Slichter SJ. Platelet transfusion therapy. Hematol Oncol Clin North Am. 2007 Aug;21(4):697-729, vii. 29. Yazer MH. The blood bank “black box” debunked: pretransfusion testing explained. CMAJ. 2006 Jan 3;174(1):29-32. 30 Bernstein HH, Rosenblatt MA, Gettes M, Lockwood C. The ability of the Haemonetics 4 Cell Saver System to remove tissue factor from blood contaminated with amniotic fluid.
The citrate component in stored blood products binds with calcium and this leads to hypocalcemia when administered in large amounts. Alkalosis is also common following massive transfusion, as is hypothermia, potassium disturbances, and decreased 2,3-DPG. Warming the infused blood and maintaining normothermia of the patient can minimize some of these effects. Monitoring acid-base balance and potassium and calcium levels is essential in the setting of massive transfusion. Coagulation defects are also common when patients receive large amounts of blood products; therefore, monitoring and correction of clotting status are warranted.
2005;294: 1664-1670. 3. The ESCAPE Investigators and ESCAPE Study Coordinators. Evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness. JAMA. 2005;294:1625-1633. 4. The National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network. Pulmonary-artery versus central venous catheter to guide treatment of acute lung injury. N Engl J Med. 2006;354:2213-2224. 5. Connors AF Jr, Speroff T, Dawson NV, et al. The effectiveness of right heart catheterization in the initial care of critically ill patients.