Document Detail


Perianesthesia care following obstetric emergencies at risk for multisystem organ dysfunction.
MedLine Citation:
PMID:  15933966     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Perianesthesia care provided to obstetric patients is on the rise due to current obstetric practice habits, changes in the maternal population, and the increased desire for scheduled childbirth. Both scheduled and emergent cesarean deliveries create risk, yet the use of general anesthesia increases maternal morbidity and mortality significantly. Obstetric emergencies make up the majority of emergent cesarean deliveries. Detrimental events during pregnancy and childbirth may be categorized into hemorrhagic, septic, or anaphylactic shock. Excessive loss of circulating volume with subsequent loss in oxygenation creates an environment for multisystem organ dysfunction syndrome (MODS). Both MODS and pregnancy are hyperdynamic and hypermetabolic states. Close monitoring is needed to differentiate pregnancy for the progression of organ dysfunction. Caring for pregnant women with the intent that pregnancy is a normal, physiologic state can lead to complacency and the risk of misdiagnosis. The purpose of this article is to review current obstetric emergencies that place the obstetric population at risk for MODS and offer management options to perianesthesia providers.
Authors:
Carol A Curran
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses / American Society of PeriAnesthesia Nurses     Volume:  20     ISSN:  1089-9472     ISO Abbreviation:  J. Perianesth. Nurs.     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-06-03     Completed Date:  2005-08-30     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9610507     Medline TA:  J Perianesth Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  185-96; quiz 197-9     Citation Subset:  N    
Affiliation:
Clinical Nurse Specialists and Associates, 745 Kingston Drive, Virginia Beach, VA 23452 , USA. cnsa@mindspring.com
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, General / adverse effects,  nursing
Cesarean Section / adverse effects,  nursing,  statistics & numerical data
Emergencies
Female
Humans
Monitoring, Physiologic / methods,  nursing
Multiple Organ Failure / epidemiology,  etiology,  nursing,  prevention & control*
Nurse's Role
Postanesthesia Nursing / organization & administration*
Postnatal Care / organization & administration
Postoperative Care / methods,  nursing*
Pregnancy
Pregnancy Complications / epidemiology,  nursing,  surgery*
Risk Factors
Shock / etiology
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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