Respiratory Failure and Mechanical Ventilation in the Pregnant Patient

• Published in: Critical care clinics Vol. 32; no. 1; p. 85
• Main Authors: Schwaiberger, David, Karcz, Marcin, Menk, Mario, Papadakos, Peter J, Dantoni, Susan E
• Format: Journal Article
• Language: English
• Published: United States 01.01.2016
• Subjects: Asthma - complications; Female; Fetal Diseases - etiology; Fetal Diseases - prevention & control; Fetus - drug effects; Humans; Placental Circulation - physiology; Pregnancy; Pregnancy Complications - etiology; Pregnancy Complications - therapy; Pulmonary Embolism - complications; Respiration, Artificial - instrumentation; Respiration, Artificial - methods; Respiration, Artificial - standards; Respiratory Distress Syndrome, Adult - complications; Respiratory Distress Syndrome, Adult - etiology; Respiratory Distress Syndrome, Adult - prevention & control; Respiratory Distress Syndrome, Adult - therapy; Respiratory Insufficiency - complications; Respiratory Insufficiency - etiology; Respiratory Insufficiency - prevention & control; Respiratory Insufficiency - therapy; Respiratory System Agents - adverse effects; Respiratory System Agents - therapeutic use; Respiratory Tract Infections - complications; Respiratory Tract Infections - microbiology; Respiratory Tract Infections - virology; Pregnancy; Noninvasive ventilation; Respiratory failure; Mechanical ventilation; ARDS
• ISSN: 1557-8232
• DOI: 10.1016/j.ccc.2015.08.001

Fewer than 2% of all peripartal patients need intensive care unit admission. But due to some anatomic and physiologic changes in pregnancy, respiratory failure can be promoted. This article reviews several obstetric and nonobstetric diseases that lead to respiratory failure and the treatment of these. Furthermore, invasive and noninvasive ventilation in pregnancy is discussed and suggestions of medication during ventilation are given.