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Obstetric Anaesthesia for Non-obstetric Anaesthetists PDF

145 Pages·2013·3.05 MB·English
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OBSTETRIC ANAESTHESIA FOR NON- OBSTETRIC ANAESTHETISTS - CPD MATRIX Ian Wrench Consultant Anaesthetist Acknowledgements: • Martin Feast • Mel Woolnough • Claire Smith (Rotherham) • Fleur Roberts Order of talk: • Anaesthesia for obstetric procedures • Analgesia on labour ward • The critically ill parturient • Complications of regional techniques • Obstetric emergencies ANAESTHESIA FOR OBSTETRIC PROCEDURES CPD Matrix: 2B02 and 2B03 “Delivery within 75 minutes does not appear to increase the risk of compromise, while delivery within 30 minutes may not always result in a good neonatal outcome. Once a decision to deliver has been made, therefore, delivery should be carried out with an urgency appropriate to the risk to the baby and the safety of the Mother.” General anaesthesia for obstetric procedures. Indications for General Anaesthesia • Speed – category 1 caesarean sections • Failure of a regional technique • Patient preference • Regional technique contraindicated • Coagulopathy • Massive haemorrhage • Localised infection in area that spinal would be sited • Systemic infection GA rate approximately 13% of all caesareans at Jessop Wing

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Anesthesia and Analgesia 2007; 104: 673–8. • Wong CA, Ratliff JT, Sullivan . Compliments existing practice •Post HDU / ITU patients. •Any patient
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