By Michael R. Foley, Thomas H. Strong Jr., Thomas J. Garite
Obstetric in depth Care guide offers quick hands-on suggestions for dealing with obstetric care sufferers within the serious care unit. featuring therapy info on quite often encountered emergencies equivalent to obstetric hemorrhage, hypertensive crises, and cardiac affliction, in addition to much less usually visible issues resembling anaphylactoid syndrome of being pregnant, thyroid hurricane, and psychiatric problems, this can be the precise source for busy clinicians who require authoritative how-to solutions the instant they're needed.
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Extra resources for Obstetric Intensive Care Manual (3rd Edition)
While operative vaginal delivery remains the most significant risk factor for a genitourinary tract laceration, other sources of obstetrical trauma can contribute to this cause of hemorrhage. These sources include fetal malpresentation, fetal macrosomia, episiotomy, precipitous delivery, prior cerclage placement, Dührssen incisions, and shoulder dystocia. A genitourinary tract laceration should be suspected if bleeding persists after a delivery despite good uterine tone. Occasionally, the bleeding may be masked due to its location, that is, broad ligament.
Crit Care Med. 2006 May;34(Suppl 5):114S-117S. 12. Kleinman S, Chan P, Robillard P. Risks associated with transfusion of cellular blood components in Canada. Transfus Med Rev. 2003 Apr;17(2):120-162. 13. Despotis GJ, Zhang L, Lublin DM. Transfusion risks and transfusion-related pro-inflammatory responses. Hematol Oncol Clin North Am. 2007 Feb;21(1):147-161. 14. Kleinman S, Chan P, Robillard P. Risks associated with transfusion of cellular blood components in Canada. Transfus Med Rev. 2003 Apr;17(2):120-162.
Rarely, graft-versus-host disease can occur following transfusion of some blood components (platelets, white blood cells, etc) into an immunocompromised individual. Transfusion-Associated Graft-Versus-Host Disease This rare complication of transfusion primarily affects immunosuppressed individuals and carries a high mortality rate (>90%). 14 Miscellaneous Complications Massive transfusion, defined as replacement of the blood volume in 24 hours or administration of more than 10 units 17 in a few hours, carries particular risks to the patient.