Sepsis and Septic Shock in Pregnancy - Children's Memorial ...

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• MaternalIndications for Delivery– Intrauterine infection– Development of DIC– Compromised cardiopulmonary function by uterinesize and/or peritoneal fluid• Compartment syndrome• Multifetal gestation– Severe ARDS/ barotrauma– Cardiopulmonary arrest• Fetal– Fetal demise– Gestational age associated with low neonatalmorbidity / mortality
Page 1 and 2: Sepsis and Septic Shockin Pregnancy
Page 3 and 4: Cases / 100,000Deaths/YearCompariso
Page 5 and 6: Maternal mortality, 1842“It is no
Page 7 and 8: The Intervention:Hand scrub with ch
Page 9 and 10: Definitions• Sepsis- SIRS due to
Page 11 and 12: Case History• 31 wks, sore throat
Page 13 and 14: Group A StreptococcusThe Etiology,
Page 17 and 18: MicroabscessFascia
Page 19 and 20: Early Goal Directed Therapy• Earl
Page 21 and 22: Mortality (%)The Importance of Earl
Page 23 and 24: Algorithm for Septic Shock in Pregn
Page 25 and 26: Antimicrobial Therapy• Infection
Page 27 and 28: Post-op C/SMultilocularabscessDispl
Page 29 and 30: Postpartumnecrotizingfasciitis
Page 31 and 32: Empiric Antimicrobial Therapy• Ge
Page 33 and 34: Vasoactive Therapy• Indication- H
Page 35 and 36: Corticosteroids• Treat patients w
Page 37 and 38: Presentation: Temp 103.5, severe fl
Page 39 and 40: Maintenance PhaseAnticipation of co
Page 41 and 42: H1N1 influenza-associated ARDS: Bil
Page 43: Indications for surgical interventi
Page 47 and 48: Prevention of Surgical Site Infecti
Page 49 and 50: References• Rivers E, Nguyen B, H
Page 51 and 52: References• NICE-SUGAR Study Inve
Page 53 and 54: References• DeBacker D, Biston P,
Page 55 and 56: Learning Objectives• Discuss the
Page 57 and 58: Pro-InflammatoryResponseCompensator
Page 59 and 60: "Except on few occasions,the patien
Page 61 and 62: Septic Shock in Pregnancy• Case s
Page 63 and 64: Dopamine• Renal enhancing effects
Page 65 and 66: Predisposing Factors for SurgicalSi

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