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Ninke, T. und Bayer, A. (2020): Polytraumatisierte Schwangere im Schockraum. Spezielle (patho‑)physiologische und therapeutische Aspekte. In: Unfallchirurg, Bd. 123, Nr. 12: S. 936-943

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Abstract

Background: Severely injured pregnant women are rarely encountered even in major trauma centers;at the same time high expectations are set for the best possible outcome of mother and child. Objective: Summary of the main pathophysiological aspects of pregnancy and essential therapeutic implications for emergency room treatment from the perspective of anesthetists. Methodology: Selective literature analysis with a focus on primary physiological literature and the synthesis of pregnancy-adapted recommendations of related guidelines. Results: The essential physiological adaptations to pregnancy and their implications for acute care are presented. Conclusion: Teamwork, structured decision making as well as airway management and goal-oriented hemodynamic treatment are the foundations for a good outcome of mother and child.

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