scholarly journals Listas de chequeo en obstetricia: ayudas cognitivas que salvan vidas

2020 ◽  
Vol 80 (04) ◽  
pp. 292-302
Author(s):  
Juan Pérez-Wulff ◽  
◽  
Daniel Márquez ◽  
Jesús Veroes ◽  
Jonel Di Muro ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Magnesium Sulfate ◽  
Postpartum Hemorrhage ◽  
Obstetrics And Gynecology ◽  
Emergency Rooms ◽  
Additional Tool ◽  
Expert Opinions ◽  
Hypertensive Pregnancy ◽  
Maternal Cardiopulmonary Resuscitation ◽  
Pregnancy Disorders

Objective: To propose the use of eight checklists in the country’s obstetric emergency rooms. Methods: An interdisciplinary team was established with physicians specializing in obstetrics and gynecology, perinatology, fetal maternal medicine, critical medicine, anesthesiology, infectology and neonatology. Upon determination of the main pathologies affecting maternal mortality in Venezuela, multiple checklists used in different centers worldwide, publications available in databases and expert opinions were reviewed. They adapted to the realities of the country and medical availability and prioritized medical actions, laboratory tests, drug treatment and diagnostic elements. Results: Checklists for postpartum hemorrhage, obstetric sepsis, hypertensive pregnancy disorders (preeclampsia with signs of severity and eclampsia), magnesium sulfate poisoning, placental acretism, maternal cardiopulmonary resuscitation, and trauma and pregnancy are presented. Conclusion: The checklists resulting from the initiative of the Society of Obstetrics and Gynecology of Venezuela are available to all health personnel who require them for implementation in educational simulation scenarios and in clinical practice, as an additional tool for finding better outcomes in patients who require high complexity management in maternity rooms. Keywords: Checklist, Postpartum hemorrhage, Obstetric sepsis, Hypertensive pregnancy disorders, Magnesium sulfate poisoning, Placental acretism, Maternal cardiopulmonary resuscitation, Trauma and pregnancy

Obstetric Emergencies (DRAFT)

2018 ◽  
Author(s):  
Amir Shamshirsaz ◽  
David Muigai
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Lateral Displacement ◽  
Rapid Response Team ◽  
Obstetric Patient ◽  
Response Team ◽  
Obstetric Emergencies ◽  
Perimortem Cesarean Section ◽  
Maternal Cardiopulmonary Resuscitation

An obstetric rapid response team (RRT) should ideally include the readily available presence of an obstetrician and a well-established system for escalation of care and management of the fetus where applicable. During the evaluation of an obstetric patient, the RRT team should be familiar with the unique changes in maternal pregnant physiology and their influence on the presentation and management of common maternal emergencies. Postpartum hemorrhage, pre-eclampsia related complications, and sepsis together form the bulk of causes for maternal RRT calls. The knowledge of, and competence with, left lateral displacement of the uterus and the timing and execution of perimortem cesarean section are essential during maternal cardiopulmonary resuscitation. In this chapter, we review common maternal emergencies during RRT activation and their management.

scholarly journals Maternal Hypertensive Pregnancy Disorders and Mental and Behavioral Disorders in the Offspring: a Review

2021 ◽  
Vol 23 (5) ◽  
Author(s):  
Rachel Robinson ◽  
Anna Lähdepuro ◽  
Soile Tuovinen ◽  
Polina Girchenko ◽  
Ville Rantalainen ◽  
...  
Keyword(s):  
Behavioral Disorders ◽  
Sound Studies ◽  
Original Research ◽  
Case Control Studies ◽  
Cross Sectional ◽  
Hypertensive Pregnancy ◽  
Increased Risk ◽  
Meta Analyses ◽  
Mental And Behavioral Disorders ◽  
Pregnancy Disorders

Abstract Purpose of Review We review here recent original research and meta-analytic evidence on the associations of maternal hypertensive pregnancy disorders and mental and behavioral disorders in the offspring. Recent Findings Seven meta-analyses and 11 of 16 original research studies published since 2015 showed significant associations between maternal hypertensive pregnancy disorders and offspring mental and behavioral disorders. Evidence was most consistent in meta-analyses and high-quality cohort studies. The associations, independent of familial confounding, were observed on different mental and behavioral disorders in childhood and schizophrenia in adulthood. Preterm birth and small-for-gestational age birth emerged as possible moderators and mediators of the associations. Cross-sectional and case-control studies yielded inconsistent findings, but had lower methodological quality. Summary Accumulating evidence from methodologically sound studies shows that maternal hypertensive pregnancy disorders are associated with an increased risk of mental and behavioral disorders in the offspring in childhood. More studies on adult mental disorders are needed.

scholarly journals Hypertensive Pregnancy Disorders and Subsequent Cardiovascular Morbidity and Type 2 Diabetes Mellitus in the Mother

Hypertension ◽  
2009 ◽  
Vol 53 (6) ◽  
pp. 944-951 ◽  
Author(s):  
Jacob A. Lykke ◽  
Jens Langhoff-Roos ◽  
Baha M. Sibai ◽  
Edmund F. Funai ◽  
Elizabeth W. Triche ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Cardiovascular Morbidity ◽  
Hypertensive Pregnancy ◽  
Pregnancy Disorders

Abstract 10336: ECPR 2 : Expert Consensus on PeRcutaneous Cannulation for Extracorporeal CardioPulmonary Resuscitation

Circulation ◽  
2021 ◽  
Vol 144 (Suppl_2) ◽  
Author(s):  
Florian F Schmitzberger ◽  
Nathan L Haas ◽  
Ryan A Coute ◽  
Jason Bartos ◽  
Amy E Hackmann ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Best Practices ◽  
Delphi Process ◽  
Expert Consensus ◽  
Snowball Sampling ◽  
Extracorporeal Cardiopulmonary Resuscitation ◽  
Modified Delphi ◽  
Expert Opinions ◽  
International Panel ◽  
Patient Arrival

Introduction: Extracorporeal cardiopulmonary resuscitation (ECPR) has emerged as a promising resuscitation strategy for select patients suffering out-of-hospital cardiac arrest (OHCA), though limited data exists regarding detailed best practices for the complex process of initiating ECPR following OHCA. Hypothesis: Expert consensus using a modified Delphi process can systematically identify detailed best practices for ECPR initiation following adult non-traumatic OHCA. Methods: We utilized a modified Delphi process consisting of two survey rounds and a virtual consensus meeting to systematically identify best practices for ECPR initiation following adult non-traumatic OHCA. A modified Delphi process builds content validity and is an accepted method to develop consensus by eliciting expert opinions through multiple rounds of questionnaires. Consensus was achieved when items reached a high level of agreement, defined as greater than 80% responses for a particular item rated a 4 or 5 on a 5-point Likert scale. Results: Snowball sampling generated a panel of 14 content experts, composed of physicians from four continents and four primary specialties. Seven existing institutional protocols for ECPR cannulation following OHCA were identified and merged into a single comprehensive list of 216 items. The panel ultimately reached consensus on 95 items: Prior to Patient Arrival (8 items), Inclusion Criteria (8), Exclusion Criteria (7), Patient Arrival (8), ECPR Cannulation (21), Go On Pump (17), and Post-Cannulation (26). Conclusion: We present a list of essential items for initiation of ECPR following adult non-traumatic OHCA, generated using a modified Delphi process from an international panel of content experts. These findings can benefit centers currently performing ECPR for OHCA in quality assurance and performance improvement, and can serve as a template for new ECPR programs to follow.

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