Acute respiratory distress syndrome in pregnancy

Cole, Daniel E.; Taylor, Tara L.; McCullough, Deirdre; Shoff, Catherine T.; Derdak, Stephen

doi:10.1097/01.ccm.0000182478.14181.da

Cited by 151 publications

(97 citation statements)

References 99 publications

(100 reference statements)

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“…Clinical manifestations of ARDS include hypoxemia and bilateral radiographic opacities, while the pathological manifestations include diffuse alveolar damage associated with alveolar edema and acute inflammation of the alveolar walls and hyaline membranes (1). Although some risk factors for ARDS during pregnancy are similar to those in the general population (e.g., sepsis, aspiration, pancreatitis, trauma, inhalation injury, drowning, and pneumonia), pregnancy-specific conditions such as amniotic fluid embolism, pre-eclampsia/eclampsia, HELLP syndrome, chorioamnionitis, and endometritis may also play etiological roles in pregnant women (2)(3)(4)(5). Acute respiratory distress syndrome has an annual incidence of 1.5/100,000 and has a fatal outcome in 35% to 50% of cases.…”

Section: Answermentioning

confidence: 99%

“…In patients admitted to the intensive care unit due to acute hypoxia and diffuse lung infiltrates during pregnancy or the postpartum period, an etiological search should be undertaken; hypervolemia and congestive heart failure should be ruled out, and amniocentesis should be conducted. For diagnostic purposes, bronchoalveolar lavage aspiration and even lung biopsy may be performed (2). Because the most probable cause of ARDS was pre-eclampsia in our patient, additional diagnostic work-up was not performed.…”

Section: Answermentioning

confidence: 99%

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Özer¹,

Özdemir²,

Ileri³

et al. 2016

J Turkish German Gynecol Assoc

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Section: Answermentioning

confidence: 99%

Section: Answermentioning

confidence: 99%

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Özer¹,

Özdemir²,

Ileri³

et al. 2016

J Turkish German Gynecol Assoc

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“…La oxigenación fetal adecuada requeriría una SaO2 materna de aproximadamente 95% y una PaO2 de 70 mm Hg. No estaría tan definido el nivel de PCO2, pero sería deseable un nivel igual o menor de 45 mm Hg de este parámetro (24).…”

Section: Figura 2 Caso Clínico Tomografía De Tórax De Alta Resoluciunclassified

Embarazo Y Enfermedad Pulmonar Obstructiva Crónica Severa: Todavía Una Muy Rara Asociación

Sosa

Téliz

Solé

et al. 2008

Rev. chil. obstet. ginecol.

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RESUMENMujer de 37 años, multípara. Intensa fumadora, bronquítica crónica e historia de disnea sibilante de años de evolución. Cursando embarazo de 30 semanas de edad gestacional, mal controlado y mal tolerado por aumento progresivo de su disnea que llega a ser de mínimos esfuerzos en el último trimestre. Consulta por expectoración purulenta, fiebre e insuficiencia respiratoria. Es valorada con radiografía de tórax, gasometría y espirometría. Tratada en base a antibióticos, oxígeno y broncodilatadores. Se realiza inducción del parto a las 38 semanas. Requiere cesárea de urgencia por agravación de la insuficiencia respiratoria, obteniéndose recién nacido de 2688 g con Apgar 6 /9. La evolución de ambos fue favorable. Se discute la incidencia de esta rara asociación y su posible aumento en el futuro. Se revisan los aspectos espirométricos de mal pronóstico que podrían contraindicar la gestación y que permanecen controversiales. PALABRAS CLAVES: Embarazo, enfermedad pulmonar obstructiva crónica, EPOC, tabaquismo SUMMARYWoman aged 37, multiparous. She was an intense smoker and has chronic bronchitis. She has sibilant dyspnea with years of evolution. Going throw pregnancy of 30 weeks of gestational age without the appropriate control and not well tolerated by their dyspnea. She consulted for purulent expectoration and fever. She was evaluated with thorax x-ray, blood gas analysis and spirometry, and treated with antibiotics, oxygen and bronchodilators. Induction is performed at the 38th week of gestational age. It requires caesarean section for aggravation of the breathing inadequacy, being obtained a newborn of 2688 g with Apgar score 6/9. They both follow up favorably. We discuss the incidence of this strange association and it possible increase in the future. The spirometrycs aspects of bad prognosis are revised and that it might contraindicate the gestation, although remain controversial.

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“…Treatment approaches are 4 extrapolated from studies performed in general popula on. Pandemic influenza virus infec on in pregnancy is associated 5 with increased risk of fetal death.…”

Section: Introductionmentioning

confidence: 99%

Severe ARDS due to Influenza A (H1N1) pdm09 Infection During Pregnancy Followed by Intrauterine Fetal Death at Alka Hospital, Lalitpur

Shrestha

Bhuju²,

Manandhar

et al. 2017

Birat J. Health Sci.

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Pandemic due to Influenza A (H1N1) pdm 09 has been a significant cause of morbidity and mortality worldwide. Pregnant women are at risk of severe disease and ARDS, with rapid progression of disease. There is increased risk of fetal loss. Little evidence exists regarding the management of ARDS in pregnancy. Here we report a case of H1N1 virus infection in a pregnant woman in third trimester complicated by severe ARDS and intra-uterine fetal death. Fetus was successfully expelled using vaginal Misoprostol, which was followed by improvement in oxygenation indices. However, the patient died of refractory hypotension. Influenza vaccination in the high risk population may be invaluable. Birat Journal of Health Sciences Vol.2/No.1/Issue 2/ Jan - April 2017, Page: 227-229

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Acute respiratory distress syndrome in pregnancy

Cited by 151 publications

References 99 publications

What is your diagnosis?

What is your diagnosis?

Embarazo Y Enfermedad Pulmonar Obstructiva Crónica Severa: Todavía Una Muy Rara Asociación

Severe ARDS due to Influenza A (H1N1) pdm09 Infection During Pregnancy Followed by Intrauterine Fetal Death at Alka Hospital, Lalitpur

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