Open issues in management of carbon monoxide poisoning in pregnancy: practical suggestions

Eleftheriou, Georgios; Butera, Raffaella; Lonati, Davide; Ferruzzi, Marcello; Costa, M.; Ferani, Roberto; Sesana, Giovanni; Zanon, Vincenzo

doi:10.1080/01443615.2022.2058356

Cited by 2 publications

(9 citation statements)

References 8 publications

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“…28 Fetal hemoglobin binds to CO as maternal hemoglobin does but with 2.5-3 times greater affinity. 14 A shift to the left of the dissociation curve is also expected in the fetal compartment. Furthermore, fetal carboxyhemoglobin has a half-life approximately 4 times longer than maternal carboxyhemoglobin.…”

Section: Discussionmentioning

confidence: 86%

“…Fetal hemoglobin binds to CO as maternal hemoglobin does but with 2.5–3 times greater affinity 14 . A shift to the left of the dissociation curve is also expected in the fetal compartment.…”

Section: Discussionmentioning

confidence: 91%

“…However, these results were considered sequelae of CO poisoning rather than HBOT 23–25 . Based on this clinical evidence, standard HBOT in pregnancy appears to be safe and is considered beneficial, reducing the severity of maternal and fetal injuries and fetal deformities 14 . In addition, HBOT may improve long‐term fetal outcomes even after birth 23 …”

Section: Resultsmentioning

confidence: 99%

“…A shift to the left of the dissociation curve is also expected in the fetal compartment. Furthermore, fetal carboxyhemoglobin has a half‐life approximately 4 times longer than maternal carboxyhemoglobin 14 . As such, even in cases where the mother is doing well, fetal morbidity or mortality can still occur.…”

Section: Discussionmentioning

confidence: 99%

“…[23][24][25] Based on this clinical evidence, standard HBOT in pregnancy appears to be safe and is considered beneficial, reducing the severity of maternal and fetal injuries and fetal deformities. 14 In addition, HBOT may improve long-term fetal outcomes even after birth. 23 Abbreviations: ATA, atmosphere absolute; CO, carbon monoxide; Hb, hemoglobin; HBOT, hyperbaric oxygen therapy; N/A, not applicable; ?, no description.…”

Section: R E Su Ltsmentioning

confidence: 99%

See 4 more Smart Citations

Narrative minireview of the current status of hyperbaric oxygen therapy for pregnant women

Yanagawa,

Nunotani,

Abe

et al. 2023

Acute Medicine & Surgery

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We performed a narrative minireview for a PubMed search on March 31, 2023, using the keywords “pregnant” and “hyperbaric oxygen” to identify any related articles. Most reports have described pregnant women with carbon monoxide (CO) poisoning being treated by hyperbaric oxygen therapy (HBOT). HBOT helped improve the maternal condition and ensure normal fetal development. Some pregnant women with CO poisoning treated by HBOT suffered abortions or gave premature birth to low‐weight babies or with congenital malformations. However, these results were considered sequelae of CO poisoning, not HBOT. We hypothesized that for pregnant women facing a life‐threatening situation, for which the effectiveness of HBOT has previously been suggested, prioritizing the stabilization of the mother may also be beneficial for normal fetal development.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: R E Su Ltsmentioning

confidence: 99%

See 3 more Smart Citations

Narrative minireview of the current status of hyperbaric oxygen therapy for pregnant women

Yanagawa,

Nunotani,

Abe

et al. 2023

Acute Medicine & Surgery

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Transient osteoporosis of the hip in pregnancy

Morton,

Savard-Heppel

2024

Obstet Med

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Transient osteoporosis of the hip is an uncommon bone marrow oedema syndrome of unknown pathophysiology affecting previously healthy pregnant women and young to middle-aged men. The disorder is characterised by hip pain, reduced mobility, and the risk of fracture, which is significantly higher in pregnant than in non-pregnant individuals. Diagnosis is by magnetic resonance imaging. Other than a single case-control study, published literature is limited to case series and case reports, with no evidence to guide management, risk of fracture, mode of delivery, safety of breastfeeding and risk of recurrence. An international pregnancy registry may be useful to try to answer some of these questions.

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Open issues in management of carbon monoxide poisoning in pregnancy: practical suggestions

Cited by 2 publications

References 8 publications

Narrative minireview of the current status of hyperbaric oxygen therapy for pregnant women

Narrative minireview of the current status of hyperbaric oxygen therapy for pregnant women

Transient osteoporosis of the hip in pregnancy

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