C CPR + left uterine displacement, IVF, inotropes, PAC may be needed -> initially develop right heart failure then this recovers. His research interest is in critical care obstetrics. Amniotic fluid embolism remains one of the most devastating conditions in obstetric practice with an incidence of approximately 1 in 40,000 deliveries and a reported mortality rate ranging from 20 to 60. Call for help anaesthetic, obstetric, haematological, ICU, paediatric, midwifery. Pacheco has written expert opinion papers for the Society for Maternal Fetal Medicine in topics such as amniotic fluid embolism. He has written a textbook addressing medical diseases in pregnancy and has directed courses around the United States in similar topics. His publications have contributed significantly to the education of maternal fetal medicine doctors and general obstetricians regarding medical complications during pregnancy. Pacheco’s work in both maternal fetal medicine and critical care medicine is unique in that he is the only maternal-fetal medicine specialist in the country who actually staffs a non-obstetrical surgical critical care unit along with other critical care specialists. He is triple board-certified in Obstetrics and Gynecology, Maternal-Fetal Medicine, and Critical Care Medicine.ĭr. By continuing to use this site you consent to the use of cookies on your device as described in our cookie policy unless you have disabled them. He then completed a second residency in Obstetrics and Gynecology and two fellowships, one in Maternal-Fetal Medicine and the other in Anesthesiology Critical Care, all at the University of Texas Medical Branch in Galveston. Answered by a verified OB GYN Doctor We use cookies to give you the best possible experience on our website. Pacheco completed medical school and his first residency in Obstetrics and Gynecology at the University of Costa Rica. He is the Departmental Director of the Obstetrical Patient Safety Committee and Chair of the Anesthesiology Critical Care Medicine Fellowship Clinical Competency Committee.ĭr. Because of its rarity, many obstetrical providers have no experience in managing amniotic fluid embolism and may therefore benefit from a cognitive aid such as a checklist. Pacheco has been a member of the faculty of UTMB since 2008 and serves as the Director of Obstetrical Critical Care and Director of the Residency Education Program for the Surgical Intensive Care Unit. Amniotic fluid embolism is a rare syndrome characterized by sudden cardiorespiratory collapse during labor or soon after delivery. Luis Pacheco is the Division Chief of Obstetrics and Maternal Fetal Medicine as well as Professor in the Department of Obstetrics and Gynecology and the Department of Anesthesiology, Division of Surgical Critical Care at the University of Texas Medical Branch in Galveston.ĭr. concluded that the patients had died as a result of pulmonary embolism by amniotic fluid, giving rise to the term amniotic fluid embolism.
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