resuscitative hysterotomy 101
TRANSCRIPT
Resuscitative HysterotomyDr. Sara Gray
Code OB
Neonatal MD
Neonatal RN x 2
Baby gear
OB MD x 2
RT x 2
Airway gear
Code OB
Neonatal MD
Neonatal RN x 2
Baby gear
OB MD x 2
RT x 2
Airway gear
“Won’t this hurt Mom?”
Resuscitative hysterotomygives Mom a chance
Relieves aorto-caval
compression
Reduces oxygen
demand
Improves pulmonary mechanics
32%
50%
“But isn’t it too late?”
TOTAL MYTH
? minutes
16 minutes
Scalpel #10Scissors
Clamps x 2
Cut skin, fundus to symphysis
Small opening of uterus
Extend uterine incision
Deliver baby then placenta
With ongoing ACLS
Cut skin, fundus to symphysis
Small opening of uterus
Extend uterine incision
Deliver baby then placenta
With ongoing ACLS
Resuscitative Hysterotomy
You can do this.
Are you preparing?
42 seconds
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
www.saragray.org@EmICUcanada