We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Acute respiratory failure in pregnancy.
- Authors
Lapinsky, Stephen E.
- Abstract
Respiratory failure affects up to 0.2% of pregnancies, more commonly in the postpartum period. Altered maternal respiratory physiology affects the assessment and management of these patients. Respiratory failure may result from pregnancy-specific conditions such as preeclampsia, amniotic fluid embolism or peripartum cardiomyopathy. Pregnancy may increase the risk or severity of other conditions, including thromboembolism, asthma, viral pneumonitis, and gastric acid aspiration. Management during pregnancy is similar to the nonpregnant patient. Endotracheal intubation in pregnancy carries an increased risk, due to airway edema and rapid oxygen desaturation following apnea. Few data are available to direct prolonged mechanical ventilation in pregnancy. Chest wall compliance is reduced, perhaps permitting slightly higher airway pressures. Optimizing oxygenation is important, but data on the use of permissive hypercapnia are limited. Delivery of the fetus does not always improve maternal respiratory function, but should be considered if benefit to the fetus is anticipated.
- Subjects
ASTHMA risk factors; THROMBOEMBOLISM risk factors; RESPIRATORY allergy; ALLERGIES; ACTIVE oxygen in the body; AIRWAY (Anatomy); AMNIOTIC fluid embolism; APNEA; ARTIFICIAL respiration; EDEMA; HYPERCAPNIA; CARDIOMYOPATHIES; PREECLAMPSIA; PUERPERIUM; RESPIRATORY measurements; RESPIRATORY insufficiency; TRACHEA intubation; ACUTE diseases
- Publication
Obstetric Medicine (1753-495X), 2015, Vol 8, Issue 3, p126
- ISSN
1753-495X
- Publication type
Article
- DOI
10.1177/1753495X15589223