title: Successful application of helmet non-invasive ventilation in a parturient with acute respiratory distress syndrome.
abstract: Acute respiratory distress syndrome (ARDS) is an important cause of morbidity and mortality during pregnancy. The case of a twin pregnant woman in her 28th week who developed infection-related ARDS, undergoing a cesarean section for premature membrane rupture is described. It was performed epidural anaesthesia and helmet non-invasive ventilation (NIV) during the postoperative period. The combination of epidural anesthesia with NIV helped to restore physiological gas-exchange and to prevent common complications associated with a more invasive approach.
authors.affiliation: Department of Anesthesiology and Intensive Care, Policlinico Agostino Gemelli, Sacro Cuore Catholic University, Rome, Italy. lucfras75@hotmail.com
authors.forename: L
authors.initials: L
authors.lastname: Frassanito
authors.forename: G
authors.initials: G
authors.lastname: Draisci
authors.forename: R
authors.initials: R
authors.lastname: Pinto
authors.forename: R
authors.initials: R
authors.lastname: Maviglia
authors.forename: S M
authors.initials: SM
authors.lastname: Maggiore
mesh_terms: D000328:Adult; D000765:Anesthesia, Conduction; D000773:Anesthesia, Obstetrical; D005260:Female; D006260:Head Protective Devices; D006801:Humans; D007231:Infant, Newborn; D010996:Pleural Effusion / Q000150:complications / Q000628:therapy; D011175:Positive-Pressure Respiration; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D059285:Pregnancy, Twin; D012121:Respiration, Artificial / Q000295:instrumentation* / Q000379:methods; D012128:Respiratory Distress Syndrome / Q000628:therapy*