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Management of the Obstetric Patient with Status AsthmaticusSt Lukes-Roosevelt Hospital Center, 1111 Amsterdam Avenue, New York
St Lukes-Roosevelt Hospital Center, 1111 Amsterdam Avenue, New York, jshapiro{at}chpnet.org Status asthmaticus requiring mechanical ventilation is an uncommon, life-threatening disorder in obstetric patients. The unique physiologic changes of pregnancy, impact of the fetus on the maternal condition, and concerns for fetal and maternal health and survival are particular concerns in critical illness. Furthermore, the issues of hypoxemia and hypercapnia, ventilator management and complications make this disease of respiratory failure an especially important area for review. There is abundant literature on the management of asthma during pregnancy; however the literature is very limited in those with status asthmaticus who require intensive care unit admission. We report our intensive care unit experience in the management of status asthmaticus in 5 pregnant patients and review the literature on management of status asthmaticus during pregnancy.
Key Words: status asthmaticus pregnancy mechanical ventilation hypercapnia
This version was published on November
1, 2008 Journal of Intensive Care Medicine, Vol. 23, No. 6,
396-402 (2008) |
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