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Anaesthesia chapter from Saving Mothers' Lives; reviewing maternal deaths to make pregnancy safer

Cooper, G.M. ; McClure, J.H.

British journal of anaesthesia : BJA, 2008-01, Vol.100 (1), p.17-22 [Periódico revisado por pares]

Oxford: Elsevier Ltd

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Título:
Anaesthesia chapter from Saving Mothers' Lives; reviewing maternal deaths to make pregnancy safer
Autor: Cooper, G.M. ; McClure, J.H.
Assuntos: Adult ; anaesthesia ; anaesthesia, general ; anaesthesia, obstetric ; anaesthesia, regional ; anaesthetic techniques ; anaesthetic techniques, epidural ; Anesthesia ; Anesthesia, Obstetrical - methods ; Anesthesia, Obstetrical - mortality ; Anesthesia, Obstetrical - standards ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; complications ; early warning scores ; epidural ; Female ; Humans ; local anaesthetics ; Maternal Mortality ; Medical Errors ; Medical sciences ; Obesity - complications ; obstetric ; Postoperative Complications - mortality ; Postpartum Hemorrhage - mortality ; Postpartum Hemorrhage - therapy ; Pregnancy ; Pregnancy Complications ; regional ; toxicity ; toxicity, local anaesthetics ; United Kingdom - epidemiology
É parte de: British journal of anaesthesia : BJA, 2008-01, Vol.100 (1), p.17-22
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Descrição: This chapter concerning maternal mortality due to anaesthesia, reprinted with permission from Saving Mothers' Lives, is the 18th in a series of reports within the Confidential Enquiries into Maternal and Child Health (CEMACH) in the UK. In the years 2003–05 there were six women who died from problems directly related to anaesthesia, which is the same as the 2000–02 triennium. Obesity was a factor in four of these women who died. Two of these deaths were in women in early pregnancy, who received general anaesthesia for gynaecological surgery by inexperienced anaesthetists who failed to manage the airway and ventilation adequately. When trainee anaesthetists are relatively inexperienced their consultants must know the limits of their competence and when close supervision and help may be needed. One death was due to bupivacaine toxicity due to a drug administration error when a bag of dilute local anaesthetic was thought to be intravenous fluid. In a further 31 cases poor perioperative management may have contributed to death. Obesity was again a relevant factor. Other cases could be categorized into poor recognition of women being sick and poor clinical management of haemorrhage, sepsis and of pre-eclampsia. Early warning scores of vital signs may help identify the mother who is seriously ill. Learning points are highlighted in relation to the clinical management of these obstetric complications.
Editor: Oxford: Elsevier Ltd
Idioma: Inglês

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Anaesthesia chapter from Saving Mothers' Lives; reviewing maternal deaths to make pregnancy safer

Cooper, G.M. ; McClure, J.H.

Oxford: Elsevier Ltd

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