产后出血的麻醉处理.pptVIP

产后出血的麻醉处理 DisclosureBD 科学咨询委员会成员 Tonight on the Labor Floor…30 yo G1P0 at 38 weeksbreech presentation; in active labor170 cm 86 kg, Mallampati IINPO for 11 hoursNo allergiesNo medical history In the Operating Room…18g IV, uneventful spinal anesthesiaHealthy baby born5 minutes later: continuous oozing in the fieldOB: “The tone is poor〞 Patient: “I feel dizzy〞Vital signs: BP 80/49; HR 120s SaO2100% What will you do ObjectivesDEFINE Postpartum hemorrhageIDENTIFY Challenges of managementPREPARE Management based on evidence Mortality from Postpartum HemorrhageOne woman every seven minutes