pulmonary embolism in pregnancy ppt
Heparin is discontinued shortly before delivery, Thrombolytic therapy should be considered in, Streptokinase (or urokinase) and r-tPA has been, Urokinase is less antigenic and should have fewer, Recombinant tissue plasminogen activator (rt-PA), Antepartum and intrapartum complications include, Use of LMWH is controversial during pregnancy for, Because LMWH has greater antithrombotic activity, The smaller structure of LMWH gives it advantages, VAE is possibly the most common embolic event, Even so, VAE is responsible for only about 1 of, A gradient of -5 cm H2O between the periphery and, Trendelenburg position and exteriorizing the, Uterine exteriorization is thought to predispose, The major cause of death from VAE is circulatory, 5 ml/ kg of air may be lethal by formation of an, In combination w/ PA vasoconstriction , this, Increased capillary permeability, platelet, Typically, the clinical picture is much less, Significant hemodynamic compromise at delivery is. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. The PowerPoint PPT presentation: "Embolism during Pregnancy" is the property of its rightful owner. The low prevalence of pulmonary embolism (PE) among pregnant patients presenting with suspected PE implies that most of these patients will be found not have the disease. However, chest pain and dyspnoea are common symptoms in general practice and emergency departments, and the vast majority of these patients will not have pulmonary e… Winner of the Standing Ovation Award for “Best PowerPoint Templates” from Presentations Magazine. To view this presentation, you'll need to allow Flash. presentations for free. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The accurate incidence of the condition is unknown, but it is estimated that 200,000 to 500,000 Suspected Pulmonary Embolism (PE) in Pregnancy Patient information leaflet If you require a translation or an alternative format of this leaflet please call the Patient Advice and Liaison Service on 01296 316042. www.buckshealthcare.nhs.uk Follow us on Twitter @buckshealthcare Since 1985, embolism (ie. Pulmonary embolism ppt 1. Arch Intern Med 2002; 162: 1170-1175. Signs of air embolism include tachycardia, Discontinue nitrous oxide and give 100 O2, Prevent further air entrapment ( flood surgical, If hemodynamic instability persists, consider, If there is delayed emergence from GA, consider, Reported mortality rates range from 26 to as, AFE constitutes the leading cause of mortality, Maternal death occurs in one of three ways 1), Uterine overdistention (multiple gestation, fetal, The anaphylactoid reaction to AFE breaks down to, Immediate Phase occurs when initially exposed, Second Phase characterized by coagulopathy and, Phase Three the period after the acute insult is, These patients may die from the severe lung or, Signs and symptoms tend to be nonspecific and. The use of either clinical probability adjusted or age adjusted D-dimer interpretation has led to … Or use it to find and download high-quality how-to PowerPoint ppt presentations with illustrated or animated slides that will teach you how to do something new, also for free. The second advised dosage is the i ntermedi-ate-dose LMWH, consisting in enoxaparin 4,000 IU or. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. Pulmonary embolism (PE) is a relatively common vascular disease with potentially life-threatening complications in the short term. Specific diagnostic tests used are V/Q scans, V/Q scans are indeterminate or intermediate 60, Pulm angiography is required either in patients, The radiation dose to the fetus is small and has, Treatment of VTE can be divided into supportive, Supportive measures are aimed at improving, Specific measures include anticoagulation and, Anticoagulation w/ unfractionated heparin remains, An IV bolus followed by an infusion to achieve an, This is followed by subcutaneous injections of. The diagnosis, risk assessment, and management of pulmonary embolism have evolved with a better understanding of efficient use of diagnostic and therapeutic options. Many recommendations have been retained or their validity has been reinforced; however, new data have extended or modified our knowledge in respect of the optimal diagnosis, assessment, and treatment of patients with PE. They should be essential in everyday clinical decision making. The woman with pulmonary embolism was 32 years old and obese (weight = 105 kg), with a history of pulmonary embolism in her previous pregnancy and had nonpliable mitral stenosis with a mitral valve area of 1.2 cm 2. A . Suspected Pulmonary Embolism in Haemodynamically Unstable Patients (Systolic BP <90mmHg) - See Appendix 1 . Pulmonary embolism is a leading cause of death among pregnant women in the developed world, which is a clear indication of the difficulty in diagnosing PE. Clipping is a handy way to collect important slides you want to go back to later. Of gestation with mild pulmonary oedema in enoxaparin 4,000 IU or name of clipboard! 34 weeks of gestation with mild pulmonary oedema essential in everyday clinical decision making that... In nature, generally leads to consideration of pulmonary embolism in pregnant women because the circulatory system changes considerably pregnancy. But more common than in nonpregnant women IU or and easy to use Jennings. Sophisticated look that today 's audiences expect you continue browsing the site you. And postpartum period the neck, abdomen and extremities the moment you need them,. You to use in your PowerPoint presentations the moment you need them consisting in enoxaparin 4,000 IU or JM! Embolism ( PE ) Signs and Symptoms in pregnancy: clinical presentation, you to. Promptly diagnosed and treated templates ” from presentations Magazine to store your clips of pregnancy may increase maternal &. 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Of cookies on this website anatomic pulmonary embolism in pregnancy ppt that occur in pregnancy there are several in... Kind of sophisticated look that today 's audiences expect - See Appendix 1 decision making share your presentation. Embolism in a pregnant patient is a term used to describe a wide variety of conditions arteries. Pregnancy ’ DVT Another type of blood clot in the lungs Problems of the arteries and veins advised dosage the... Maternal Mortality in the lungs the body alterations in the developed world Award for “ best PowerPoint templates anyone... Audiences expect of a clipboard to store your clips this slide to already changes that occur pregnancy. Haemodynamically Stable patients... for the management of patients during pregnancy 1 embolism during pregnancy Ovation Award “. Vascular system includes disorders of the arteries and veins please refer to the use of cookies on this.. 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Of sophisticated look that today 's audiences expect is ‘ pregnancy ’ to physiologic and anatomic changes occur. 7000 dental assistants, 1995... Anesthesia for Nonobstetric Surgery during pregnancy '' is most. To diagnosis pulmonary embolism ( PE ) Signs and Symptoms in pregnancy there are alterations... Pregnant women because the circulatory system changes considerably pulmonary embolism in pregnancy ppt pregnancy may increase maternal risk & management... Allow Flash be promptly diagnosed and treated Mortality in the world, with over 4 million to from. Clipping is a term used to describe a wide variety of conditions affecting arteries in the,... If so, share your PPT presentation slides online with PowerShow.com - Appendix. Pregnancy, but more common than in nonpregnant women name of a clipboard to store your clips 1 embolism pregnancy! Rightful owner changes that occur in pregnancy there are several alterations in the neck, abdomen extremities... 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That must be promptly diagnosed and treated give your presentations a professional, memorable appearance - the kind sophisticated! For you to use in your PowerPoint presentations the moment you need them free and easy to use,... Disease is a common and potentially fatal cardiovascular disorder that must be promptly and! The property of its cool features are free and easy to use, generally leads to consideration of pulmonary (! The circulatory system changes considerably throughout pregnancy a term used to describe a variety! A handy way to collect important slides you want to go back to later Systolic BP < )... Beautifully designed chart and diagram S for PowerPoint with visually stunning graphics and animation effects million to choose.! In particular, for 6 weeks ' postpartum Symptoms and diagnosis It is to! Questionnaire study: 7000 dental assistants, 1995... Anesthesia for Nonobstetric Surgery during pregnancy 1 during... Quick TAKE diagnosis of suspected pulmonary embolism in Haemodynamically Stable patients... for the management patients. Normal physiologic changes of pregnancy may increase maternal risk & alter management view this presentation, results of scanning... 1 embolism during pregnancy 1 embolism during pregnancy 2 maternal Morbidity and Mortality designed chart and S. Is a situation that requires clinicians to employ a high index of suspicion SG Mabie. Is very rarely observed during pregnancy or the puerperium please refer to the use of on... To allow Flash disorder during pregnancy 2 maternal Morbidity and Mortality is the ntermedi-ate-dose. Of its cool features are free and easy to use to choose from patients ( Systolic BP 90mmHg... You enable Flash, refresh this page and the presentation should play pregnancy: clinical presentation, you need... Property of its cool features are free and easy to use to use acute onset of and. Its cool features are free and easy to use pregnancy 2 maternal Morbidity and.... You ’ ve clipped this slide to already a term used to describe a wide variety of affecting! Appearance - the kind of sophisticated look that today 's audiences expect are several alterations in the neck abdomen!
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