Hemodynamic Monitoring in High-Risk Obstetrics Patients, II

Bridges, Elizabeth; Womble, Shannon; Wallace, Marlene; McCartney, Jerry

doi:10.4037/ccn2003.23.5.52

Cited by 8 publications

(1 citation statement)

References 41 publications

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“…However, these changes are severe in sepsis and continue along the septic shock spectrum. 12,13 Respiratory Enhanced pulmonary microvascular pressure and permeability and the release of inflammatory mediators may promote effusion, 14,15 leading to respiratory failure and acute respiratory distress syndrome; the mortality rate is 30-60%. 16,17 Renal Acute renal failure occurs in approximately 19% of cases with moderate sepsis, 23% with severe sepsis and 51% with septic shock (when blood cultures are positive).…”

Section: Cardiovascularmentioning

confidence: 99%

Genital tract sepsis: early diagnosis, management and prevention

Sinha

Otify

2012

The Obstetric & Gynaecologis

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Key content While maternal mortality is declining overall, maternal deaths due to sepsis have risen in recent triennia. Risk factors such as obesity, impaired glucose tolerance or diabetes, impaired immunity and anaemia should be identified and highlighted by health professionals. Most maternal deaths occur due to substandard care, such as failure or delay in the diagnosis and late referral to hospital. It is recommended that all maternity units use the Modified Obstetric Early Warning Scoring system for the early recognition of serious illness. Learning objectives To be able to identify risk factors for genital tract sepsis, as well as signs and symptoms. To learn about a model of care for initial assessment and management. To learn about the guiding principles for antibiotic therapy. To understand the consequences of delayed management and potentially life‐threatening scenarios. Ethical issues Given the real concerns regarding the safety and adverse effects of antibiotics, should empirical treatment be given to all women? The risks of unhelpful and unnecessary investigations should be balanced against the risks associated with delay and possible misdiagnosis.

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