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Anaesthesia for ruptured ectopic pregnancy at district level

In South Africa, deaths as a result of ectopic pregnancies are increasing despite the overall improvements in maternal mortality. These deaths occur predominantly in district hospitals, with the final cause of death being hypovolaemic shock in almost all cases. In most cases, no anaesthesia was atte...

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Detalles Bibliográficos
Autores principales: Bishop, David G., le Roux, Simon P.D.P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8377993/
https://www.ncbi.nlm.nih.gov/pubmed/34082559
http://dx.doi.org/10.4102/safp.v63i1.5304
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author Bishop, David G.
le Roux, Simon P.D.P.
author_facet Bishop, David G.
le Roux, Simon P.D.P.
author_sort Bishop, David G.
collection PubMed
description In South Africa, deaths as a result of ectopic pregnancies are increasing despite the overall improvements in maternal mortality. These deaths occur predominantly in district hospitals, with the final cause of death being hypovolaemic shock in almost all cases. In most cases, no anaesthesia was attempted despite the district hospitals having the clinical skills, equipment and infrastructure to provide a caesarean delivery service. It appears that there is a skills gap between the provision of anaesthesia for caesarean delivery and that of ruptured ectopic pregnancy. There is a growing recognition of the urgent need to prioritise the provision of emergency surgical care in rural settings. This should be viewed not as a luxury but as an absolute necessity. In this study, we aim to discuss the pathophysiology of a patient with a ruptured ectopic pregnancy briefly, outline district hospital requirements for safe surgery and then discuss a simple, safe method for the provision of anaesthesia in patients deemed too unstable to transfer to a referral facility.
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spelling pubmed-83779932021-09-03 Anaesthesia for ruptured ectopic pregnancy at district level Bishop, David G. le Roux, Simon P.D.P. S Afr Fam Pract (2004) CPD Article In South Africa, deaths as a result of ectopic pregnancies are increasing despite the overall improvements in maternal mortality. These deaths occur predominantly in district hospitals, with the final cause of death being hypovolaemic shock in almost all cases. In most cases, no anaesthesia was attempted despite the district hospitals having the clinical skills, equipment and infrastructure to provide a caesarean delivery service. It appears that there is a skills gap between the provision of anaesthesia for caesarean delivery and that of ruptured ectopic pregnancy. There is a growing recognition of the urgent need to prioritise the provision of emergency surgical care in rural settings. This should be viewed not as a luxury but as an absolute necessity. In this study, we aim to discuss the pathophysiology of a patient with a ruptured ectopic pregnancy briefly, outline district hospital requirements for safe surgery and then discuss a simple, safe method for the provision of anaesthesia in patients deemed too unstable to transfer to a referral facility. AOSIS 2021-05-27 /pmc/articles/PMC8377993/ /pubmed/34082559 http://dx.doi.org/10.4102/safp.v63i1.5304 Text en © 2021. The Authors https://creativecommons.org/licenses/by/4.0/Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle CPD Article
Bishop, David G.
le Roux, Simon P.D.P.
Anaesthesia for ruptured ectopic pregnancy at district level
title Anaesthesia for ruptured ectopic pregnancy at district level
title_full Anaesthesia for ruptured ectopic pregnancy at district level
title_fullStr Anaesthesia for ruptured ectopic pregnancy at district level
title_full_unstemmed Anaesthesia for ruptured ectopic pregnancy at district level
title_short Anaesthesia for ruptured ectopic pregnancy at district level
title_sort anaesthesia for ruptured ectopic pregnancy at district level
topic CPD Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8377993/
https://www.ncbi.nlm.nih.gov/pubmed/34082559
http://dx.doi.org/10.4102/safp.v63i1.5304
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