The Critical Care Obstetrics Podcast Eclampsia: What's Your Management Plan?
Feb 3, 2025
The hosts discuss the urgent need for standardized protocols in managing eclampsia. Real-life scenarios emphasize the importance of preparedness and teamwork in critical situations. Key strategies like magnesium sulfate dosing are explored, alongside the challenges posed by liver dysfunction. Engaging anecdotes reveal the instinctual reactions of medical professionals in emergencies. The conversation underscores the necessity of monitoring both maternal and fetal health while navigating the complexities of eclampsia management.
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Episode notes
Airway Management During Seizures
- Protect the airway during a seizure by positioning the patient laterally.
- Avoid putting anything in their mouth, as this can cause injury.
IV Access During and After Seizures
- Secure IV access after the seizure, not during.
- Protect existing IV lines during the seizure if possible.
Magnesium Sulfate Administration
- Administer magnesium sulfate immediately for eclamptic seizures.
- Other anti-seizure medications are not superior to magnesium.