Respiratory Failure and Mechanical Ventilation in the Pregnant Patient

Crit Care Clin. 2016 Jan;32(1):85-95. doi: 10.1016/j.ccc.2015.08.001. Epub 2015 Oct 23.

Abstract

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.

Keywords: ARDS; Mechanical ventilation; Noninvasive ventilation; Pregnancy; Respiratory failure.

Publication types

  • Review

MeSH terms

  • 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* / complications
  • Respiratory Distress Syndrome* / etiology
  • Respiratory Distress Syndrome* / prevention & control
  • Respiratory Distress Syndrome* / 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

Substances

  • Respiratory System Agents