Role of Critical Care Units in the management of obstetric patients (Review)

Koukoubanis, Konstantinos; Prodromidou, Anastasia; Stamatakis, Emmanouil; Valsamidis, Dimitrios; Thomakos, Nikolaos

doi:10.3892/br.2021.1434

Cited by 8 publications

(3 citation statements)

References 45 publications

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“…Una vez realizados los esfuerzos terapéuticos iniciales, cuando se considera que el paciente está estable o relativamente estable, se le traslada a la Unidad de Cuidados Intensivos, donde se cuenta con personal adecuadamente formado, para los cuidados respectivos y su monitorización prolongada. Esto contribuye a evitar un mayor deterioro de los tejidos dañados por la hemorragia y evitar cualquier complicación producto de la pérdida de sangre 12 .…”

Section: Resultsunclassified

Atención oportuna en minimizar la morbilidad y la mortalidad asociadas a la hemorragia posparto

Vallejo-Barroso,

Rodríguez-Plascencia,

Romero-Fernández

et al. 2023

Vida y Salud

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Objetivo: analizar la atención oportuna en minimizar la morbilidad y la mortalidad asociadas a la hemorragia posparto. Método: Revisión sistemática y documental de 17 trabajos de investigación. Resultados y conclusión: Para evitar complicaciones por una pérdida de sangre significativa el manejo de la hemorragia postparto se realiza desde la sala de partos mediante la administración de fármacos y cirugía, cuando se presentan complicaciones más graves como la hipovolemia es prioritario derivar a la paciente a la unidad de cuidados intensivos.

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Section: Resultsunclassified

Atención oportuna en minimizar la morbilidad y la mortalidad asociadas a la hemorragia posparto

Vallejo-Barroso,

Rodríguez-Plascencia,

Romero-Fernández

et al. 2023

Vida y Salud

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“…Management of critically ill obstetric patient's remains challenging due to the physiological changes occurred due to pregnancy. 2,3 Maternal healthcare is very challenging in rural area as two important factors may hinder it, viz, the availability of healthcare set up and lack of awareness. 4 In our rural area, the hospital caters various emergency services to all type of patients.…”

Section: Discussionmentioning

confidence: 99%

Pattern and outcome of obstetric patients admitted in the medical critical care unit of tertiary care hospital

Shetti¹,

Patel²,

Mustilwar³

2023

IJPCA

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Various types of diseases are seen in pregnant patients, it may be prior to the pregnancy or during the pregnancy period. Certain diseases may lead to critical care admission and may be either elective or emergency admission. This study was conducted to know the pattern and outcome of obstetric patients getting admitted to the medical critical care unit of our tertiary care hospital. This is a retrospective study, and we collected the data from the records for two years duration, starting from 1st January 2020 to 31st December 2021. A total of 97 patients were admitted and a maximum number of patients were aged between 18-25 years. 56(57.7%) of patients were primigravida, and 58(59.8%) of the patients were registered cases. 82(84.5%) of cases were registered under the medico-legal case as per Indian law. 68(70.1%) patients had lower segment cesarean sections. Among 97 patients, 22(22.7%) of patients had comorbid illnesses. A total of 22(22.7%) patients got admitted for poisoning-related issues, which was the single most common cause among 97 admissions. 25(25.8%) of patients were on mechanical ventilation and the average number of critical care unit stay was 4 days. 65(67%) patients survived, 15(15.5%) patients died, and the remaining patient was either took discharged against the advice or referred.Obstetric patient admission in the rural critical care unit is not uncommon, and poisoning is the most common cause of admission in the medical critical care unit.

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“…This clearly shows the importance of early postoperative monitoring. The bleeding patients especially shows such signs and high index of suspicion warrants close monitoring of high-risk cases [18].…”

Section: Discussionmentioning

confidence: 99%

The Incidence of Obstetrics and Gynecology Cases Returning to Operation Theater due to Postoperative Complications in a Tertiary Care Hospital

Aftab,

Faraz,

Fahad

et al. 2023

Dubai Med J

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Introduction: Unexpected return to operation theater carries high rate of morbidity and mortality for patients, in addition to increased hospital stay. A close look at such cases would help in identifying high-risk patients thus improving outcome. The aim of the study was to evaluate the incidence of Obs/Gyn cases returning to OT due to postoperative complications in a tertiary care hospital. Methods: It was a retrospective observational study done at tertiary care hospital settings affiliated with academic center in the UAE. The records of patients were scrutinized, and all booked and non-booked pregnant patients of any age undergoing emergency or elective obstetrics or gynecological procedure from January 1, 2016 to December 31, 2020 were enrolled in the study. Relaparotomy was defined as cases opened within same admission and causally associated with previous primary obstetrics or gynecological operation. Result: A total of 21,276 operations were performed from 2016 to 2020. In these 4 years, 33 patients had unexpected return to operation theater making the incidence of re-exploration to 0.15% (33/21,276). There were 16 (48.48%) emergency operations and 17 (51.52%) elective operations previously done on these patients. The most common primary procedure for which re-exploration was done was lower segment caesarean section done in 11 (33.3%) of cases followed by laparoscopic adhesiolysis and myomectomy. Hematoma in the pelvic region and ooze from raw area were the most common per-operative finding in 48.48% of cases. There was no mortality in the abovementioned cases; however, 2 (6.06%) had early acute kidney injury and both recovered from it. Discussion: The incidence of relaparotomy in our hospital is comparable to international literature. Most patients returned to OT within 48 h. Bleeding was the most common indication for laparotomy, and lower segment cesarean section was most common primary operation. This study underscores the need for meticulous hemostasis before closing to avoid return to OT. Conclusion: Return to OT for the right indication saves life. Mortality in such cases may be reduced by earlier detection and treatment of postoperative problems, consideration of relaparotomy, active ICU monitoring, and postoperative care.

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Role of Critical Care Units in the management of obstetric patients (Review)

Cited by 8 publications

References 45 publications

Atención oportuna en minimizar la morbilidad y la mortalidad asociadas a la hemorragia posparto

Atención oportuna en minimizar la morbilidad y la mortalidad asociadas a la hemorragia posparto

Pattern and outcome of obstetric patients admitted in the medical critical care unit of tertiary care hospital

The Incidence of Obstetrics and Gynecology Cases Returning to Operation Theater due to Postoperative Complications in a Tertiary Care Hospital

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