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2003, Number 4

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Med Crit 2003; 17 (4)

Acute respiratory distress syndrome associated to HELLP syndrome.

Hernández PJA, Vila HS, Brito BB, Rodríguez CS, Estrada AA, Gayoso CO

Language: Spanish
References: 15
Page: 144-149
PDF size: 74.05 Kb.


ABSTRACT

Objective: To report a case of acute respiratory distress syndrome (ARDS) associated to HELLP syndrome.
Design: Case report.
Setting: ICU of a tertiary care of obstetrical and gynecological hospital, Mexico City.
Patient: A 30-yrs-old pregnant patient with HELLP syndrome.
Interventions: Cesarean operation, mechanical ventilation support (with PEEP), pulmonary arterial catheter insertion.
Measurements and main results: Patient develops severe hypertension, proteinuria, increase of liver enzymes and ARDS (PaO2/FIO2, 55). She was discharged at 22th ICU stay without pulmonary sequelae.
Conclusion: A complication of HELLP syndrome may be ARDS.


REFERENCES

  1. Pittet R. Biological markers of acute lung injury: Prognostic and pathogenetic significance. Am J Resp Critical Care Med 1997:1187-1205.

  2. Van Hook JW. Acute respiratory distress syndrome in pregnancy. Seminars in Perinatology 1997:320-327.

  3. Multidisciplinary Critical Care Board Review Course. Society of Critical Care Medicine: Chicago ILL 1998:595-612.

  4. Gattinoni L. Lung structure and function in different stages of severe adult respiratory distress syndrome. JAMA 1994:1772-79.

  5. Roger CB. Diagnosis of causes for acute respiratory distress by pressure-volume curves. CHEST 1976;70:740-46.

  6. Villanueva LA, Pedernera E, García LE. Bases fisiopatológicas de la preeclampsia. Una hipótesis. Ginecol Obstet Mex 1999;67:246-52.

  7. Saphier CJ. Hemolysis elevated liver enzimes, and low platelets (HELLP) Syndrome. A Review of Diagnosis and Management. Seminars in Perinatology 1998:118-133.

  8. Mabie WC. Adult respiratory distress syndrome in pregnancy. Am J Obstet Gynecol 1992;162:950-57.

  9. Murrey JF, Matthay MA, Luce JM et al. An expanded definition of adult respiratory distress syndrome. Am Rev Respir Dis 1988;138:720.

  10. Syndrome. Clinics in CHEST Med 1996:555-73.

  11. Mahutte N. Obstetric admissions to the intensive care unit. Obstet Gynecol 1999:263-66.

  12. Lara GAL, García AA et al. Mortalidad materna por eclampsia. Cinco años de revisión. Ginecol Obstet Mex 1999;67:253-57.

  13. Sibain BM, Mohamed KR et al. Maternal morbidity in 442 pregnancies with hemolysis, elevated liver enzymes, and low platelets (HELLP SYNDROME). Am J Obstet Gynecol 1993;169:1000-6.

  14. Perry KG. Maternal outcome associated with adult respiratory distress syndrome. Am J Obstet Gynecol 1996;174:391.

  15. Martin JN, Brian KR, Warren LM et al. The espectrum of severe preeclampsia: Comparative analysis by HELLP (hemolysis, elevated liver enzyme levels, and low platelet count) syndrome classification. Am J Obstet Gynecol 1999;180:1373-84.




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