Critical Illness Beyond the ICU – What Is Essential?

Features| March 2024 Critical Illness Beyond the ICU – What Is Essential? Amos Z. Muzuka, MD, MMed; Amos Z. Muzuka, MD, MMed Search for other works by this author on: This Site PubMed Google Scholar Aneth C. Kaliza, MD; Aneth C. Kaliza, MD Search for other works by this author on: This Site PubMed Google Scholar Vanessa Moll, MD, PhD, FCCM, FASA Vanessa Moll, MD, PhD, FCCM, FASA Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor March 2024, Vol. 88, 20–21. https://doi.org/10.1097/01.ASM.0001008268.88280.7c Views Icon Views Article contents Figures Critical Illness Beyond the ICU – What Is Essential?. ASA Monitor 2024; 88:20–21 doi: https://doi.org/10.1097/01.ASM.0001008268.88280.7c Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: critical illness, intensive care unit The following real-life case is representative of the challenges faced in global health care: A 33-year-old gravida 3, para 3, was referred from a health center 72 kilometers away, presenting with severe post-cesarean section anemia. The referral notes highlighted sustained hypotension, managed with one unit of FFP, one unit of whole blood, and three liters of I.V. fluids. A nurse and nonphysician anesthesia provider accompanied the patient. The ambulance lacked oxygen, while basic airway equipment was available. Upon arrival, the patient was confused with a GCS of 12/15, tachypnea, weak pulses, and unrecordable oxygen saturation and blood pressure. After resuscitation with I.V. fluids and intubation, an emergency laparotomy revealed hemoperitoneum, uterine rupture, and broad ligament hematoma, requiring a subtotal hysterectomy. Perioperatively, four packed RBC units and four FFP units were administered. Despite initial stabilization, the patient developed acute kidney failure, progressing to anuria in the ICU. A second exploratory laparotomy... You do not currently have access to this content.