logging in or signing up CPR in pregnancy drmohammadzadeh Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1208 Category: Education License: All Rights Reserved Like it (1) Dislike it (0) Added: July 16, 2009 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: mukesh7890 (16 month(s) ago) ilike yr presentation ,kindly send to me Saving..... Post Reply Close By: drmohammadzadeh (16 month(s) ago) you're welcome, you can download it if you like. Saving..... Edit Comment Close Premium member Presentation Transcript CPR in pregnancy : CPR in pregnancy Directed by: Farnaz Mohammadzadeh M.D. Obstetrician & Gynecologist Behdad Bazargani M.D. Anesthesiologist Physiologic changes : Physiologic changes Compensate for increased metabolic demands Prepare for blood loss at time of delivery Alter presentation of injured woman Pregnant woman is more vulnerable Mask severity of injury Cardiovascular system : Cardiovascular system Increase in cardiac output (20-30%) Increase in heart rate (10-15 bpm) Decrease in systolic and diastolic pressure (10-15 mmhg) Increase in red blood cells and plasma (45%) Relative anemia Increase in blood flow to uterus (up to 20%) Respiratory system : Respiratory system Increase in RR due to upward pressure of uterus Decrease in PCO2 Decrease in tidal volume Gi/gu : Gi/gu Delayed GI emptying Movement of abdominal organs Uterus is the largest abdominal organ shock : shock Body protects the mother : Uterine vasoconstriction 20-30% decrease in blood flow to uterus Loss of 30-35% of blood volume before developing hypotension slower onset of sign/symptom in mother But fetus is vulnerable to mild hypotension Slide 7: Any Question? Resuscitation of pregnant women in cardiac arrest : Resuscitation of pregnant women in cardiac arrest Slide 9: Always ABC Focus on maternal resuscitation Remember that signs of shock are late Evaluate and treat hypovolemia aggressively Modifications in bls : Modifications in bls Position Airway and breathing Circulation defibrillation position : position Airway and breathing : Airway and breathing circulation : circulation defibrillation : defibrillation Modificatoins in acls : Modificatoins in acls Airway (early , size of tube ) Breathing ( FRC , O2 demand) Circulation Differential diagnosis : Differential diagnosis Excess magnesium sulfate Acute coronary syndromes Preeclampsia/Eclampsia Aortic dissection Amniotic fluid embolism Trauma and drug overdose Slide 19: Any Question? Emergency hysterotomy : Emergency hysterotomy 24 – 25 weeks 5 min 98% 6-15 83% 16-25 33% 25-35 25% CHILD BIRTH Decision making for emergency hysterotomy : Decision making for emergency hysterotomy Gestational age: < 20 weeks 20- 23 weeks >24- 25 weeks Slide 22: Features of cardiac arrest: - Interval -Pre arrest hypoxia -Fetal distress -Effective resuscitative efforts -NICU Slide 23: Professional setting: -equipment -experience -neonatal personnel -obstetric personnel summary : summary Excellent CPR with some modifications in BLS and ACLS By 20 weeks,relieve the pressure by positioning the woman Defibrillation and medication the same Consider the need for emergency hysterotomy Slide 25: Any Question? You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
CPR in pregnancy drmohammadzadeh Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1208 Category: Education License: All Rights Reserved Like it (1) Dislike it (0) Added: July 16, 2009 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: mukesh7890 (16 month(s) ago) ilike yr presentation ,kindly send to me Saving..... Post Reply Close By: drmohammadzadeh (16 month(s) ago) you're welcome, you can download it if you like. Saving..... Edit Comment Close Premium member Presentation Transcript CPR in pregnancy : CPR in pregnancy Directed by: Farnaz Mohammadzadeh M.D. Obstetrician & Gynecologist Behdad Bazargani M.D. Anesthesiologist Physiologic changes : Physiologic changes Compensate for increased metabolic demands Prepare for blood loss at time of delivery Alter presentation of injured woman Pregnant woman is more vulnerable Mask severity of injury Cardiovascular system : Cardiovascular system Increase in cardiac output (20-30%) Increase in heart rate (10-15 bpm) Decrease in systolic and diastolic pressure (10-15 mmhg) Increase in red blood cells and plasma (45%) Relative anemia Increase in blood flow to uterus (up to 20%) Respiratory system : Respiratory system Increase in RR due to upward pressure of uterus Decrease in PCO2 Decrease in tidal volume Gi/gu : Gi/gu Delayed GI emptying Movement of abdominal organs Uterus is the largest abdominal organ shock : shock Body protects the mother : Uterine vasoconstriction 20-30% decrease in blood flow to uterus Loss of 30-35% of blood volume before developing hypotension slower onset of sign/symptom in mother But fetus is vulnerable to mild hypotension Slide 7: Any Question? Resuscitation of pregnant women in cardiac arrest : Resuscitation of pregnant women in cardiac arrest Slide 9: Always ABC Focus on maternal resuscitation Remember that signs of shock are late Evaluate and treat hypovolemia aggressively Modifications in bls : Modifications in bls Position Airway and breathing Circulation defibrillation position : position Airway and breathing : Airway and breathing circulation : circulation defibrillation : defibrillation Modificatoins in acls : Modificatoins in acls Airway (early , size of tube ) Breathing ( FRC , O2 demand) Circulation Differential diagnosis : Differential diagnosis Excess magnesium sulfate Acute coronary syndromes Preeclampsia/Eclampsia Aortic dissection Amniotic fluid embolism Trauma and drug overdose Slide 19: Any Question? Emergency hysterotomy : Emergency hysterotomy 24 – 25 weeks 5 min 98% 6-15 83% 16-25 33% 25-35 25% CHILD BIRTH Decision making for emergency hysterotomy : Decision making for emergency hysterotomy Gestational age: < 20 weeks 20- 23 weeks >24- 25 weeks Slide 22: Features of cardiac arrest: - Interval -Pre arrest hypoxia -Fetal distress -Effective resuscitative efforts -NICU Slide 23: Professional setting: -equipment -experience -neonatal personnel -obstetric personnel summary : summary Excellent CPR with some modifications in BLS and ACLS By 20 weeks,relieve the pressure by positioning the woman Defibrillation and medication the same Consider the need for emergency hysterotomy Slide 25: Any Question?