In the United States alone,“ The pregnancy-related mortality ratios were 17.8 and 15.9 deaths per 100,000 live births in 2011 and 2012”(CDC 1). In 2011-2012 pregnancy-related deaths were caused by, “non-cardiovascular diseases, infection/sepsis, hemorrhage, cardiomyopathy, thrombotic pulmonary embolism..”.(HHS 1). These aren’t even all of the possibilities of what might happen, but majority of them can be helped with the correct medical attention. During childbirth, it is important to not only make sure that the baby is okay, but also the mother. A hospital is an ideal place to be if something might occur and there is a chance something will happen during childbirth.
Followed by the application of 12 lead electro cardiogram (ECG). It is important to determine whether it is cardiogenic or non-cardiogenic by doing primary and secondary survey. Glycerol trinitrate (vasodilator) to draw the fluid out of the lungs, aspirin (antiplatelet) to prevent or reduce platelet aggregation and flusemide (loop diuretic) that promotes the secretion of sodium and water are administered when a patient has cardiogenic pulmonary oedema. Whether the patient has cardiogenic or non-cardiogenic pulmonary oedema the following procedures will apply, IPPV (Intermittent Positive Pressure Ventilation), PEEP (Positive end –expiratory pressure) and CPAP (Continuous positive airway pressure. Transport immediately to the nearest hospital and reassess every five minutes (Mursell,
Practiced for decades now, fetal surgery is a highly complex subject both medically and ethically. In medicine, there is a great amount of stress coming from both the parents and physicians due to concerns with the fetus’ unknown anomaly and whether it can be fixed. The procedure involves cutting the mother's abdomen open so they can then cut a small incision in the uterus to expose as much of the fetus as possible. Then, it is lifted out of the uterus so while tending to the issues it stays connected to the placenta to preserve fetal life. For example, if a tumor is seen on the heart of the fetus on an ultrasound, they could perform fetal cardiac surgery to
In that same moment, I knew something was wrong. My baby wasn’t making any noises and her color looked wrong. Within minutes, she was rushed away to the Neonatal ICU. The umbilical cord had been wrapped around her neck causing loss of oxygen to her organs. She spent two long weeks in the Neonatal ICU.
Shah addresses the reader with caring motives and understanding of how physically demanding and life-changing pregnancy can be. ‘’I am acutely aware that even women with healthy pregnancies can develop life-threatening hemorrhage, fetal distress, or other unanticipated emergencies during labor.’’ Shah recognizes the risk associated with pregnancy and tells the reader of his concerns. He even recognizes the amount of financial expenses and stress associated with C-sections. ‘’Nearly, half of the of the caesareans we do in the US currently appear to be
Clinical manifestation - Cyanosis - Tachycardia - Dyspnea - Hypoxia with clubbing Management For neonates whose pulmonary blood flow depends on the patency of the ductus arteriosus, a continuous infusion of Prostaglandin E1, is started until surgical intervention can be arranged. Palliative treatment: A Bidirectional Clenn shunt can be performed at 6-9 month. Modified Fontan Procedure: systemic venous return is directed to the lungs without a ventricular pump through surgical connection between the right atrium and pulmonary
Now there are many resources to not feel any anguish“ epidural or spinal anesthesia, labor inductions, cesarean sections, even the placement of IV lines are a source of additional revenue for both the hospital and the practitioners involved”(Childbirth Change). Childbirth medical field has overcome many errors and have improved overtime. That now many mothers are not as anxious as of
Kaitlyn Finney Respiratory therapy 150 RESPIRATORY DISTRESS AND IT 'S AFFECT ON INFANTS Respiratory distress of the newborn is a very fatal but curable disease. It is a vicious series of events that all lead to severe impairment of the respiratory function. Although it is primarily due to immature lungs the reason the lung maturity is so important is because of the growth of surfactant. Surfactant replacement and mechanical ventilation are both very helpful therapies for infants with Respiratory distress syndrome however the best method is the prevention of prematurity. The purpose of this paper is to enlighten the reader about this devastating disease and the successful therapies we respiratory therapists use to reverse and care
It can also increase the chance of tears to the vagina and perineum in mothers. Since the immune system of a baby are immature, it takes longer for them to strain the epidural drugs. It also adds to the fact that using this type of anesthetic will effect the immune system of the newborn. Which will compromise the fetal's oxygen and blood pressure such as fetal bradycardia. Even though an epidural is effective for pain relief.
Rising of cesarean sections may often require patients to stay longer in hospital and higher occupancy rate. In addition, the added costs of other procedures associated with this complication (MRI, transfusion and intensive care admission) raised questions
When Sibert was not responding the anaesthetist then allowed a slow inhalation of Isoflurane to be delivered to patient through the face mask. When the patient was fully anaesthetised the author assisted the anaesthetist to secure the airway by passing size 4 Laryngoscope and size 8 endotracheal tube (ETT). The ETT was cuffed and tightly secured. Sibert was then transferred to the operating table and monitoring continued. Anaesthesia was maintained with O2, Isoflurane, and N2O on spontaneous ventilation with closed circuit.
ABSTRACT A pneumothorax is a life threatening disease that results in a restrictive lung disorder. This condition is associated with atelectasis, chest wall expansion, and a decrease in cardiac venous return. Often caused by smoking, a pneumothorax can be detected from pulmonary function testings, arterial blood gas interpretations, and chest radiological findings.
The anaesthetist removed the ETT and proceeded to place a tight fitted mask on patients face. (REF)She then alerted the team that there was a problem with the patient airway (REF). The mask did not mist up – indicating of no air movement return, there was no carbon dioxide trace on the capnography and the patient oxygen saturation dropped steadily from 100% to 90%. He instigated vigorous jaw thrust to improve oxygenation, and using continuous positive airway pressure(CPAP) to deliver 100% oxygen flow through the breathing bag attached to the anaesthetic machine but all this effort was not having any effect on the ventilation. He then asked my mentor the Operating Department Practitioner (ODP) to administer 50mg/5ml of intravenous Propofol.