Читать книгу Managing Medical and Obstetric Emergencies and Trauma - Группа авторов - Страница 40

Deaths from anaesthesia fell steadily during the 1970s due to a move to regional anaesthesia and better training of anaesthetists. Since 1985, the number has been in single figures in each triennium and in view of the rising CS rate this represents an improvement. Failed tracheal intubation has been highlighted in recent years, together with anaphylaxis and aspiration causing difficult ventilation. The most recent report emphasised the crucial role of the anaesthetist in the resuscitation, management and postoperative care of women who have obstetric haemorrhage. Particular messages included: (i) the importance of ensuring adequate intravenous access to facilitate fluid resuscitation; (ii) the need to use appropriate rapid fluid warming devices during fluid resuscitation and transfusion; and (iii) the importance of ensuring that there is evidence that there has been adequate resuscitation of a woman who has had an obstetric haemorrhage and that the haemorrhage has ceased prior to extubation.