ARTERIAL BLOOD GAS MONITORING IN CRITICALLY ILL ANTENATAL AND POSTNATAL PATIENTS

Dr. Sanjaya Sharma, Dr. Srishti

Abstract


Arterial blood gas determinations (ABGs) play an important role in diagnosing derangements in acid-base balance, oxygenation, and ventilation. Frequent assessment is necessary in the management of critically ill antenatal and postnatal patients. This article reviews the technologic evolution of modern blood gas analysis and the clinical application of monitoring hydrogen ion content (pH), blood oxygen tension (PO2), and carbon dioxide tension (PCO2) acid base balance in the body.


Keywords


Critically ill parturient, haemodynamic, intensive care, obstetrics, pregnancy, sepsis, ventilation

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References


Trikha A1, Singh P.The critically ill obstetric patient - Recent concepts.Indian J Anaesth. 2010 Sep;54(5):421-7. doi: 10.4103/0019-5049.71041.

Mabie WC, Sibai BM. Treatment in an obstetric intensive care unit. Am J Obstet Gynecol. 1990;162:1–4.

Lewinsohn G, Herman A, Leonov Y, Klinowski E. Critically ill obstetrical patients: outcome and predictability. Crit Care Med. 1994;22:1412–4.

Patidar Arvind Kumar • Kumar H. S. • Walke Rahul V. • Hirapara Pushpendra H. • Jakhar Shankar Lal • Bardia M. R. Evaluation of the Response of Concurrent High Dose Rate Intracavitary Brachytherapy with External Beam Radiotherapy in Management of Early Stage Carcinoma Cervix.The Journal of Obstetrics and Gynecology of India (September-October 2012) 62(5):562–565

Rochat RW, Koonin LM, Atrash HK, Jewett JF. Maternal mortality in the United States: report from the Maternal Mortality Collaborative. Obstet Gynecol. 1988;72:91–7.

Karnad DR, Lapsia V, Krishnan A, Salvi VS. Prognostic factors in obstetric patients admitted to an Indian intensive care unit. Crit Care Med. 2004;32:1294–9.

Baskett TC, Sternadel J. Maternal intensive care and near-miss mortality in obstetrics. Br J Obstet Gynecol. 1998;105:981–4.

Mantel GD, Buchmann E, Rees H, Pattinson RC. Severe acute maternal morbidity: a pilot study of definition for a near- miss. Br J Obstet Gynecol. 1998;105:985–90.

Bhattacharya S. A study on maternal mortality in Silchar medical college and hospital. J Obstet Gynecol India. 2001;51:67–70.

Mahutte NG, Murphy-Kaulbeck L, Le Q, Solomon J, Benjamin A, Boyd ME. Obstetric admissions to the intensive care unit. Obstet Gynecol. 1999;94:263–6.

El-Solh AA, Grant BJ. A comparison of severity of illness scoring systems for critically ill obstetric patients. Chest. 1996;110:1299–304.

Lapinsky SE, Kruczynski K, Seaward GR, Farine D, Grossman RF. Critical care management of the obstetric patients. Can J Anaesth. 1997;44:325–9.

Tang LC, Kwok AC, Wang AY, Lee YY, Sun KO, So AP, et al. Critical care in obstetrical patients.An eight year review. Chin Med J (Engl) 1997;110:936–41.

Sriram S, Robertson MS. Critically ill obstetric patients in Australia: a retrospective audit of 8 years’ experience in a tertiary intensive care unit. Crit Care Resusc. 2008;10:124.

Patel DA, Gangopadhay S, Vaishnav SB. Maternal mortality at Karamsad-The only rural medical college in Gujarat. J Obstet Gynecol India. 2001;51:63–6.

Kyle J Gunnerson, Melissa Saul, Shui He & John A Kellum.Lactate versus non-lactate metabolic acidosis: a retrospective outcome evaluation of critically ill patients.Critical Care volume 10, Article number: R22 (2006).

Paladino L, Sinert R, Wallace D, Anderson T, Yadav K, Zehtabchi S. The utility of base deficit and arterial lactate in differentiating major from minor injury in trauma patients with normal vital signs. Resuscitation. 2008 Jun;77(3):363-8. doi: 10.1016/j.resuscitation.2008.01.022. Epub 2008 Mar 25. PubMed PMID: 18367305.


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