Ventilatory management of an obstetric patient with adult respiratory distress syndrome

Manejo ventilatorio en una paciente obstétrica con síndrome de dificultad respiratoria del adulto

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Sandra Ximena Olaya Garay Hospital Universitario Hernando Moncaleano Perdomo, Neiva, Colombia
Jorman Harvey Tejada Perdomo Universidad Surcolombiana, Hospital Universitario Hernando Moncaleano Perdomo, Neiva, Colombia.
Magaly Pérez Hospital Universitario Hernando Moncaleano Perdomo, Neiva, Colombia.
Piedad Susunaga Meneses Universidad Surcolombiana, Neiva
Abstract

Adult Respiratory Distress Syndrome (ARDS) is rare in pregnancy. Since other causes of maternal mortality are declining, ARDS is increasingly important in mortality of obstetric patients. Obstetric causes of ARDS and non-related-topregnancy conditions have been identified. Changes in the airways predispose pregnant patients to these complications. The management of the obstetric patient with ARDS presents unique challenges. This is a case report of ARDS and pregnancy, an aspect increasingly addressed in the medical literature, of interest in maternal mortality indicators.

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Author Biographies / See

Sandra Ximena Olaya Garay, Hospital Universitario Hernando Moncaleano Perdomo, Neiva, Colombia

Ginecóloga, Especialista en Cuidado Crítico, Profesora Auxiliar de Ginecoobstetricia, Universidad Surcolombiana, Coordinadora Unidad de Cuidado Intensivo Obstétrico.

Jorman Harvey Tejada Perdomo, Universidad Surcolombiana, Hospital Universitario Hernando Moncaleano Perdomo, Neiva, Colombia.

Neuroanestesiólogo, Especialista en Gerencia de Servicios de Salud, Profesor Auxiliar de anestesiología Universidad Surcolombiana, Hospital Universitario Hernando Moncaleano Perdomo, Neiva, Colombia.

Magaly Pérez, Hospital Universitario Hernando Moncaleano Perdomo, Neiva, Colombia.

Fisioterapeuta, Especialista en cuidado intensivo, Coordinadora de terapia respiratoria unidad de cuidado intensivo obstétrico.

Piedad Susunaga Meneses, Universidad Surcolombiana, Neiva

Médico Residente de Anestesiología y Reanimación.
References

Ware LB, Matthay MA. The acute respiratory distress syndrome. N Engl J Med 2000; 342: 1334-1349.

Ashbaugh DG, Bigelow DB, Petty TL, et al. Acute respiratory distress in adults. Lancet 1967; 2:319-323.

Bernard GR, Artigas A, Brigham KL. The American-European Consensus Conference on ARDS: definitions, mechanisms, relevant outcomes,and clinical trial coordination. Am J Respir Crit Care Med 1994; 149:818-24.

Ranieri VM, Rubenfeld GD, Thompson BT, et al. Acute Respiratory Distress Syndrome: The Berlin Definition. JAMA 2012; 307:2526-2533.

Luce JM. Acute lung injury and the acute respiratory distress syndrome. Crit Care Med 1998; 26:369-376.

Collop NA, Sahn SA. Critical illness in pregnancy: an analysis of 20 patients admitted to a medical intensive care unit. Chest 1993;103(5):1548-52.

Futoran JM, Hill JD. Pulmonary insufficiency associated with pregnancy. Am J Obstet Gynecol 1975;121:637-40.

Mabie WC, Barton JR, Sibai BM. Adult respiratory distress syndromein pregnancy. Am J ObstetGynecol 1992;167( 4 Pt 1):950-57.

Catanzarite V, Willms D, Wong D, Landers C, Cousins L, Schrimmer D. Acute respiratory distress syndromein pregnancy and the puerperium: causes, courses, and outcomes. ObstetGynecol 2001;97( 5 Pt 1):760-4.

Daniel E. Cole; Tara L. Taylor, Deirdre M. McCullough. Acute respiratory distress syndrome in pregnancy. CriticalCare Medicine 2005; 33. No 10:S269 -S278).

Chen CY, Fau-Chen C-P, Chen CP, et al. Factors implicated in the outcome of pregnancies complicated by acute respiratory failure. J Repro dMe d. 2003;48:641-648.

Christiansen L, Collin K. Pregnancy associated deaths: a 15-year retrospective study and overall review of maternal pathophysiology. Am J Foren Med Path. 2006;27:11-19.

Diego de Mendoza-Asensi, MD. Breathing for Two Ventilating the Pregnant Patient. Clin Pulm Med 2009;16: 21-27.

Herridge MS, Cheung AM, Tansey CM, et al. One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med 2003; 348:683-693.

De Vaciana M, Towers CV, Major CA. Pulmonary injury associated with appendicitis in pregnancy: Who is at risk? Am J Obste t Gynecol 1994;171:1008-13.

Bandi VD, Munnur U, Matthay MA. Acute lung injury and acute respiratory distress syndrome in pregnancy. Crit Care Clin 2004;20:577-7.

Endler GC, Mariona FG, Sokol RJ, Stevenson LB. Anesthesia-related maternal mortality in Michigan, 1972 to 1984. Am J Obstet Gynecol 1988;159(1):187-93.

Elkus R, Popovich J. Respiratory physiology in pregnancy. Clin Chest Med 1992;13:555-65.

Chestnutt AN. Physiology of normal pregnancy. Crit Care Clin 2004; 20: 609-15.

Marx GF, Murthy PK, Orkin LR. Static compliance before and after vaginal delivery. Br J Anaesth 1970; 42:1100-4.

Matthay MA, Wiener-Kronish JP. Intact epithelial barrier function is critical for the resolution of alveolar edema in humans. Am Rev Respir Dis 1990;142(6 Pt 1):1250-7.

DiFederico EM, Harrison M, Matthay MA. Pulmonary edema in a woman following fetal surgery. Chest 1996;109(4):1114-7.

Campbell LA, Klocke RA. Implications for the pregnant patient. Am J RespirCrit Care Med 2001;163(5):1051-4.

San Román JE, Giannasi SE, Avila R, Saldarini F, Perman M, Butera M. et al. Efectos fisiológicos de una maniobra de reclutamiento alveolar escalonada en pacientes con SDRA en etapa precoz. Med Intensiva 2003;27(10):662-8.

Pelosi P, Brazzi L, Gattinoni L. Prone position in acute respiratory distress syndrome. Eur Respir J 2002;20(4):1017-28.

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