Obstetric anaesthesia
17 cases, 7 of them in the Core.
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Every answer in Obstetric anaesthesia has these
- Open with the gestation and what it changes for her: airway, aspiration, desaturation, caval compression.
- Two patients, but resuscitating the mother is how the fetus is saved.
- Keep left uterine displacement from about 20 weeks, in theatre and in every crisis.
- Name who is called: obstetrician, neonatal team, blood bank, and a second anaesthetist.
The cases
- Laparoscopy for ovarian torsion at 22 weeks
- Severe preeclampsia with HELLP for labour epidural Core
- Failed intubation for retained placenta Core
- Amniotic fluid embolism with arrest during vacuum delivery Core
- Cord prolapse at full dilatation Core
- Preterm twins for caesarean under spinal
- Atonic PPH with coagulopathy for laparotomy Core
- Placenta accreta spectrum for caesarean hysterectomy
- Placental abruption for crash caesarean
- Sickle cell disease in labour
- Dural puncture after spinal fusion, then postpartum seizure
- Anterior mediastinal mass at term for caesarean
- Mechanical mitral valve on LMWH for induction of labour
- Uterine rupture during trial of labour after caesarean
- Jehovah's Witness refusing blood for emergency caesarean
- Preterm birth on magnesium with neonatal resuscitation Core
- Failed epidural extension, then high block at caesarean Core