Critical Care In Pregnancy (Part 2) V1

This podcast addresses critical care considerations for pregnant patients, focusing on thromboembolic disease and acute respiratory failure. Dr. Stephen Lapinsky, Director of the Intensive Care Unit at Mount Sinai Hospital in Toronto, discusses the increased risk of thromboembolic events in pregnant women due to changes in coagulation factors and venous stasis, emphasizing the importance of compression ultrasound for diagnosis and low molecular weight heparin for treatment. The conversation covers managing respiratory failure, highlighting the need to account for the compensated respiratory alkalosis typical in pregnancy and the risk of fetal hypoxia from maternal alkalosis. Dr. Lapinsky also shares insights on intubation precautions, ventilation strategies, cardiovascular support, and the critical role of perimortem cesarean delivery in cardiac arrest scenarios.