This book contains a collection of the most recent insights regarding maternal morbidity and mortality and optimization of the care processes during acute critical illness.The volume represents a practical resource to be used in real-time by medical practitioners faced with a woman who is critically ill during pregnancy and the peripartum period. By providing concise tools for disease identifiers and management flow-charts, the Editors aimed to increase awareness and improve processes of care for this population. Many care paradigms for obstetric patients are currently unstandardized, unfocused and often do not follow a pre-determined path.Each chapter will provide the practitioner with updated information on how to identify specific critical conditions and how to manage them once they have been identified, to enhance recognition and readiness. This book should be used as a resource to improve the quality of care administered to obstetric patients, to reduce fragmented care processes and to improve interdisciplinary co-ordination and communication, with the overall aim of decreasing maternal morbidity and mortality. Therefore, this book represents an invaluable guide to specialists in critical care, anesthesia and obstetrics as well as to intensive care nurses and midwives.
Part I. Epidemiology.- Preventable maternal deaths.- Identifying the critically ill parturient.- Maternal near miss.- Maternal ICU admission.- Part II. The coagulation system.- Physiology of hyper and hypocoagability during pregnancy.- Severe peripartum hemorrhage.- Fluid management.- Management and prevention of thromboticand embolic phenomena during pregnancy- DVT, AFE and PE.- Part III. The cardiovascular system.- Normal changes in cardiovascular physiology during pregnancy.- Exacerbation of pre-existing heart disease (valves, IHD).- Cardiomyopathy of pregnancy.- Pulmonary Hypertension.- POCUS - point of care ultrasound in critical illness.- ECMO.- Part IV. The immune system.- Physiological changes of the immune system during pregnancy.- Hypertension, eclampsia and pre-eclampsia.- Viral infections during pregnancy - HIV, Zika, H1N1, Dengue (including isolation and ICU management).- Infection during early pregnancy and septic abortions.- Infections in Late Pregnancy and Puerperium.- Part V. The respiratory system.- Physiological changes in the airway and the respiratory system .- Airway management.- Lung ultrasound - advanced.- Management of ventilation.- Part VI. The neuromuscular system.- Physiology and monitoring of the brain during pregnancy.- Management of maternal stroke.- Neurological crises (e.g. status epilepticus).- Part VII. Maternal cardiac arrest.- Maternal Cardiac Arrest.- Post-resuscitaton care and targeted temperature management.- The brain dead mother - ethics and physiology.- Part VIII. The renal system.- Renal physiology during pregnancy.- Kidney failure and RRT.- Part IX. The endocrine and metabolic systems.- Nutrition.- Acute fatty liver of pregnancy, liver failure and transplant.- Part X. Surgical dilemmas in critically ill women.- Trauma during pregnancy.- Intra-abdominal surgery.- Brain surgery.- Maternal critical care during disasters.- Part XI. Medications and complications.- Drugs.- Pain management.- Anaphylaxis.
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