Critical Care ObstetricsMechanical Ventilation During Pregnancy Sedation, Analgesia, and ParalysisPACHECO, LUIS D. MD*; SAADE, GEORGE R. MD†; HANKINS, GARY D.V. MD†Author Information *Departments of Obstetrics, Gynecology, and Anesthesiology, Divisions of Maternal Fetal Medicine and Surgical Critical Care †Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of Texas Medical Branch, Galveston, Texas The authors declare that they have nothing to disclose. Correspondence: Luis D. Pacheco, MD, Departments of Obstetrics, Gynecology, and Anesthesiology, Divisions of Maternal Fetal Medicine and Surgical Critical Care, University of Texas Medical Branch, Galveston, 301 University Blvd., Galveston, TX. E-mail: [email protected] Clinical Obstetrics and Gynecology: December 2014 - Volume 57 - Issue 4 - p 844-850 doi: 10.1097/GRF.0000000000000064 Buy Metrics Abstract Pregnant women occasionally require mechanical ventilation. Ventilated patients commonly need some form of analgesia and/or sedation with or without paralytics. The use of these agents is common in the intensive care unit setting, but most maternal-fetal medicine specialists are unfamiliar with their use. In the vast majority of cases, guidelines and recommendations regarding the use of these agents should be followed as recommended for nonpregnant individuals. This article discusses the most relevant issues of sedatives, analgesics, and neuromuscular blockers used in modern critical care practice. Copyright © 2014 Wolters Kluwer Health, Inc. All rights reserved.