Nederlands tijdschrift voor geneeskunde
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Mortality due to trauma in pregnancy is not very common in the Netherlands. More often a pregnant woman presents herself for examination after trauma. Blunt trauma is more common in the third trimester. ⋯ Maternal mortality after penetrating trauma is low because of the protection of vital organs by the uterus. With good treatment the mortality in pregnant trauma patients will not be higher than in nonpregnant patients. A rapid and effective resuscitation of the mother will give the foetus the best chance of survival.
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Ned Tijdschr Geneeskd · May 1999
Comment Review[Sedation by non-anesthesiologists should be centralized for considerations of safety].
Sedation and analgesia for diagnostic or therapeutic procedures outside the operating room by non-anaesthesiologist physicians is becoming more frequent. In reaction to sedation casualties a multidisciplinary committee organized by the National Organization for Quality Assurance in Hospitals (CBO) has developed guidelines for sedation and analgesia by non-anaesthesiologists for psychologically or physically distressing diagnostic and therapeutic procedures. ⋯ It may be expected that with these guidelines sedation and analgesia by non-anaesthesiologists will increase further. With a view to the safety of the patient diagnostic and therapeutic procedures which require sedation for psychological or physical reasons should be concentrated in a diagnostic/therapeutic complex, connected to the operating complex, where it is possible to consult the expertise of an anaesthesiologist.