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2024, Number 4

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Med Crit 2024; 38 (4)

Mechanical ventilation in obstetric patient with acute respiratory distress syndrome

Barrera HC, Mariaca OY, Monares ZE

Language: Spanish
References: 30
Page: 307-312
PDF size: 247.93 Kb.


ABSTRACT

The Acute Respiratory Distress Syndrome (ARDS) is a potentially life-threatening condition that, along with the physiological changes of pregnancy, presents a challenge in its management. ARDS is the rapid onset of hypoxemic respiratory failure associated with bilateral lung opacities on chest imaging attributed to non-cardiogenic pulmonary edema. It accounts for up to 13% of admissions to the intensive care unit (ICU), which can be due to obstetric and non-obstetric causes, with a mortality rate ranging from 9-14%. Often, invasive mechanical ventilation is required to maintain a partial oxygen pressure (PaO2) of > 60 mmHg. Lung-protective strategies are the same as in non-obstetric patients, as are the indications for prone positioning in refractory hypoxemia. An essential component in the management of ARDS during pregnancy involves effective communication between the obstetrics team and the critical care specialist, as well as a fundamental understanding of mechanical ventilatory support.


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