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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
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Related Experiment Video

Updated: Apr 4, 2026

The Perinatal Asphyxiated Lamb Model: A Model for Newborn Resuscitation
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Management of stillbirth delivery.

Nahida A Chakhtoura1, Uma M Reddy2

  • 1Maternal and Pediatric Infectious Disease Branch, Eunice Kennedy Shriver, National Institute of Child Health and Human Development, National Institute of Health, 6100 Executive Blvd, Rm 4B11, Bethesda, MD 20892-7510 (Fed X: Rockville, MD 20852).

Seminars in Perinatology
|September 6, 2015
PubMed
Summary

Stillbirth management is individualized. Options include expectant management, induction of labor, or cesarean delivery, depending on gestational age and maternal history.

Keywords:
intrauterine fetal deathmanagementpregnancystillbirth

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Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine

Background:

  • Stillbirth is a significant adverse pregnancy outcome.
  • Management requires individualized approaches considering multiple factors.

Purpose of the Study:

  • To review current data on stillbirth management strategies.
  • To provide guidance based on gestational age and prior uterine surgery.

Main Methods:

  • Review of available data on stillbirth management.
  • Analysis of treatment options stratified by gestational age.
  • Consideration of impact of prior uterine surgery.

Main Results:

  • Expectant management is a viable option when indicated.
  • Second-trimester management includes misoprostol induction and D&E.
  • Third-trimester management involves labor induction with prostaglandins or mechanical methods, with caution regarding prostaglandins in women with prior cesarean delivery.

Conclusions:

  • Individualized management is crucial for stillbirth.
  • Various methods are effective for uterine evacuation based on gestational age.
  • Cesarean delivery should be reserved for specific maternal indications.