Bhiwal Kumar Anil Gupta Sunanda*
Critically ill obstetric patients present a unique challenge to the obstetrician, anaesthesiologist and intensivists. Maternal mortality has shown a sharp decline in the developed countries but in developing countries it is still high due to lack of good maternal antenatal services and obstetric intensive care. The indications for admission of a parturient to an ICU are obstetric complications as well as non obstetric indications. Optimal management of the critically ill obstetric patient involves early detection and multi disciplinary approach with close collaboration of the critical care team including obstetricians, midwives, anesthesiologists and neonatologists based on knowledge of physiological and pharmacological alterations. This article aims to provide a comprehensive review for the management of critically ill obstetric patient including monitoring, ventilator strategies, drugs, nutrition, thromboprophylaxis, prognostic indicators and recent update on commonly encountered situations.
Oliveira Ar *, Oliveira Jbr, Kronbauer Al, Severo Ns, Picetti E
The evolution of ophthalmologic surgery brings back the popularity of regional anesthesia techniques. The search for the ideal anesthetic approach have been based in safety and efficacy basis. Peribulbar medial canthus single was successfully attempted but not with a less traumatic needle. A technique presentation of the peribulbar medial canthus single approach using a 13x0x45mm needle is detailed and advocated as an alternative to perform ophthalmic surgeries.
Biocore Publishing Group
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