Management of the obstetric patient with status asthmaticus.
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.
Elsayegh
Dany
D
St Lukes-Roosevelt Hospital Center, 1111 Amsterdam Avenue, New York, NY, USA.
Shapiro
Janet M
JM
D000293:Adolescent; D000328:Adult; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007362:Intensive Care Units; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy* / Q000503:physiopathology / Q000628:therapy; D011256:Pregnancy Outcome; D012121:Respiration, Artificial; D013224:Status Asthmaticus / Q000188:drug therapy* / Q000503:physiopathology* / Q000628:therapy; D055815:Young Adult
D018927:Anti-Asthmatic Agents