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Chapter 78 - The Pregnant Trauma Patient

from Section 9 - Trauma Anesthesia

Published online by Cambridge University Press:  03 August 2023

By
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 25-year-old woman is brought to the trauma bay after injury in a motor vehicle accident. She was the restrained passenger in a head-on collision. She tells her caregivers she is 7 months pregnant and repeatedly asks, “Is my baby OK?” She is tachycardic to 120 and moderately hypotensive at 92/56 mm Hg, with complaints of abdominal tenderness. What concerns do you have in the trauma bay? How do you want to proceed?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 323 - 326
Publisher: Cambridge University Press
Print publication year: 2023

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References

Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 2149–50.Google Scholar
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Krywko, DM, Troy, FK, Kahan, ME, et al. Pregnancy trauma. In: StatPearls [Internet]. Treasure Island: StatPearls Publishing, 2022.Google Scholar
Mercier, FJ, Van de Velde, M. Major obstetric hemorrhage. Anestheisol Clin 2008;26:53–66.Google Scholar
Neufeld, JD, Moore, EE, Marx, JA, et al. Trauma in pregnancy. Emerg Med Clin North Am 1987;5:623.CrossRefGoogle ScholarPubMed
Prentice-Bjerkeseth, R. Perioperative anesthetic management of trauma in pregnancy. Anesth Clin North Am 1999;17(1):278–95.Google Scholar
Smith, CE. Trauma Anesthesia, 2nd ed. Cambridge: Cambridge University Press, 2015, pp. 623–36.CrossRefGoogle Scholar
Varon, AJ, Smith, CE. Essentials of Trauma Anesthesia, 2nd ed. Cambridge: Cambridge University Press, 2018, pp. 304–16.Google Scholar

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