Title: Acute Respiratory Failure During Pregnancy
Authors: Dr Arati Nayak, Dr Arata Kumar Swain, Dr Pradipta Kumar Patel, Dr Janaki Janka
DOI: http://dx.doi.org/10.18535/jmscr/v4i2.43
Acute respiratory failure during pregnancy, although relatively uncommon, continues to be a prominent cause of maternal mortality, accounting for 30% of maternal deaths. Major respiratory changes in pregnancy which increase maternal susceptibility to acute respiratory failure can result from a variety of conditions, most of which are not pulmonary in origin. Early diagnosis of underlying disease is critical, as it will guide the management approach. Treatment goals respiratory failure in the pregnant woman are similar to those outside of pregnancy-to maintain adequate ventilation and to provide hemodynamic and nutritional support. 1. Lurie S, Konichezky S, Hagay ZJ. Acute respiratory failure in pregnancy. Int J Gynaecol Obstet1998; 60: 61–62. 2. Karetzky M, Ramirez M. Acute respiratory failure in pregnancy. An analysis of 19 cases. Medicine (Baltimore) 1998; 77: 41–49.N.A. HANANIA, M. CAZZOLA 254 3. Deblieux PM, Summer WR. Acute respiratory failure in pregnancy.ClinObstetGynecol 1996; 4. Hollingsworth HM, Irwin RS. Acute respiratory failure in pregnancy.Clin Chest Med 1992;13: 723–740. 5. Catanzarite V, Willms D, Wong D, Landers C, Cousins L, Schrimmer D. Acute respiratorydistress syndrome in pregnancy and the puerperium: causes, courses, and outcomes. ObstetGynecol 2001; 97: 760–764.39: 143–152. 6. Anon. ACOG technical bulletin. Pulmonary disease in pregnancy. Number 224 – June 1996. Int J Gynaecol Obstet 1996; 54: 187–196. 7. Bhatia P, Bhatia K. Pregnancy and the lungs. Postgrad Med J 2000; 76: 683–689. 8. Pereira A, Krieger BP. Pulmonary complications of pregnancy. Clin Chest Med 2004; 25: 299–310. 9. Fishburne JI. Physiology and disease of the respiratory system in pregnancy. A review. J Reprod Med 1979; 22: 177–189. 10. Elkus R, Popovich J Jr. Respiratory physiology in pregnancy. Clin Chest Med 1992; 13: 555–565. 11. Rizk NW, Kalassian KG, Gilligan T, Druzin MI, Daniel DL. Obstetric complications in pulmonary and critical care medicine. Chest 1996; 110: 791–809. 12. Naylor DF Jr, Olson MM. Critical care obstetrics and gynecology. Crit Care Clin 2003; 19: 127–149. 13. Weinberger SE, Weiss ST, Cohen WR, Weiss JW, Johnson TS. Pregnancy and the lung. Am Rev Respir Dis 1980; 121: 559–581. 14. Chen CY, Chen CP, Wang KG, Kuo SC, Su TH. Factors implicated in the outcome of pregnancies. 15. Campbell LA, Klocke RA. Implications for the pregnant patient. Am J RespirCrit Care Med2001; 163: 1051–1054.. 16. El-Solh AA, Grant BJBA comparison of severity of illness scoring systems for critically ill obstetric patients. Chest 110199612991304 [CrossRef] [Medline] 17. Bouvier-Colle MH, Varnoux N, Salanave B, Ancel PY, Breart G. Case-control study of risk factors for obstetric patients' admission to intensive care units. Eur J Obstet Gynecol Reprod Biol. 1997;74:173–7.[PubMed 18. Weil JV, Castro O, Malik AB, Rodgers G, Bonds DR, Jacobs TP. Pathogenesis of lung disease in sickle hemoglobinopathies. Am Rev Respir Dis. 1993;148:249–56. [PubMed] 19. Quinn CT, Buchanan GR. The acute chest syndrome of sickle cell disease. J Pediatr. 1999;135:416–22.[PubMed] 20. Sutton LL, Castro O, Cross DJ, Spencer JE, Lewis JF. Pulmonary hypertension in sickle cell disease. Am J Cardiol. 1994;74:626–8. [PubMed]Abstract
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