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ARDS in Pregnancy

DUARTE, ALEXANDER G. MD

Clinical Obstetrics & Gynecology: December 2014 - Volume 57 - Issue 4 - p 862–870
doi: 10.1097/GRF.0000000000000067
Critical Care Obstetrics

Acute respiratory distress syndrome (ARDS) is an uncommon condition in pregnant patients. The causes of ARDS are associated with obstetric causes such as amniotic fluid embolism, preeclampsia, septic abortion, and retained products of conception or nonobstetric causes that include sepsis, aspiration pneumonitis, influenza pneumonia, blood transfusions, and trauma. An essential component in management of ARDS involves good communication between the obstetrics team and critical care specialist and a fundamental understanding of mechanical ventilatory support. Medical therapies such as nitric oxide and corticosteroids play a complimentary role. Extracorporeal life support is beneficial in the management of the parturient with severe ARDS.

Division of Pulmonary, Critical Care and Sleep Medicine, University of Texas Medical Branch, Galveston, Texas

The author declares that there is nothing to disclose.

Correspondence: Alexander G. Duarte, MD, Division of Pulmonary, Critical Care and Sleep Medicine, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX. E-mail: aduarte@utmb.edu

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