resuscitative hysterotomy 101
TRANSCRIPT
![Page 1: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/1.jpg)
Resuscitative HysterotomyDr. Sara Gray
![Page 2: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/2.jpg)
![Page 3: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/3.jpg)
![Page 4: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/4.jpg)
![Page 5: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/5.jpg)
![Page 6: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/6.jpg)
![Page 7: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/7.jpg)
![Page 8: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/8.jpg)
Code OB
Neonatal MD
Neonatal RN x 2
Baby gear
OB MD x 2
RT x 2
Airway gear
![Page 9: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/9.jpg)
Code OB
Neonatal MD
Neonatal RN x 2
Baby gear
OB MD x 2
RT x 2
Airway gear
![Page 10: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/10.jpg)
![Page 11: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/11.jpg)
![Page 12: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/12.jpg)
![Page 13: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/13.jpg)
![Page 14: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/14.jpg)
“Won’t this hurt Mom?”
![Page 15: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/15.jpg)
Resuscitative hysterotomygives Mom a chance
![Page 16: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/16.jpg)
Relieves aorto-caval
compression
Reduces oxygen
demand
Improves pulmonary mechanics
![Page 17: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/17.jpg)
32%
50%
![Page 18: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/18.jpg)
“But isn’t it too late?”
![Page 19: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/19.jpg)
![Page 20: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/20.jpg)
TOTAL MYTH
![Page 21: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/21.jpg)
? minutes
![Page 22: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/22.jpg)
16 minutes
![Page 23: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/23.jpg)
![Page 24: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/24.jpg)
![Page 25: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/25.jpg)
![Page 26: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/26.jpg)
Scalpel #10Scissors
Clamps x 2
![Page 27: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/27.jpg)
![Page 28: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/28.jpg)
Cut skin, fundus to symphysis
Small opening of uterus
Extend uterine incision
Deliver baby then placenta
With ongoing ACLS
![Page 29: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/29.jpg)
![Page 30: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/30.jpg)
![Page 31: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/31.jpg)
![Page 32: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/32.jpg)
![Page 33: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/33.jpg)
Cut skin, fundus to symphysis
Small opening of uterus
Extend uterine incision
Deliver baby then placenta
With ongoing ACLS
Resuscitative Hysterotomy
![Page 34: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/34.jpg)
You can do this.
![Page 35: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/35.jpg)
![Page 36: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/36.jpg)
Are you preparing?
![Page 37: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/37.jpg)
![Page 38: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/38.jpg)
42 seconds
![Page 39: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/39.jpg)
![Page 40: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/40.jpg)
![Page 41: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/41.jpg)
![Page 42: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/42.jpg)
Call a Code OB
Choose a room with 2 beds
RH helps Mom
Prep for RH before Mom arrives
Do it ASAP
Scalpel, scissors, clamps
Mentally prepare right now
You can do this
Resuscitative Hysterotomy
![Page 43: Resuscitative Hysterotomy 101](https://reader034.vdocument.in/reader034/viewer/2022050613/5871a4921a28ab044e8b7bbd/html5/thumbnails/43.jpg)
www.saragray.org@EmICUcanada