Pregnant Patient

"The pregnant patient with medical complications represents a unique challenge to the intensive care specialist and often requires the management expertise of several subspecialists. The best place for proper management of these cases remains controversial. Although some tertiary care centers have maternal-fetal ICUs, many do not and use a general medical ICU to assist in the care of critically ill pregnant patients . There is abundant literature on the management of asthma during pregnancy; however the literature is very limited in those with ASA who require Intensive care unit admission . A life threatening episode indicates the presence of one of the three clinical types; acute severe asthma (an acute episode of bronchospasm where the FEV 1 is 30% or less than the predicted value), status asthmaticus (where the episode becomes resistant to β-adrenergic agonists and corticosteroids), or acute fulminant asthma (where the onset is rapid and severe and the patient is obtunded). life threatening asthma in pregnancy poses difficult problems. In particular, the decision about when and where to deliver the fetus is complex, since maternal response to asthma treatment is unpredictable. Another problem is permissive hypercapnia, commonly practiced during life threatening asthma in the nonpregnant state, may not be safe during pregnancy as it affects uterine blood flow.(Hassan WA, Darwish A, Zareh ZA (2014) Impact of Intensive Care Management of Life Threatening Asthma on Feto-Maternal Outcome.)"

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Last date updated on September, 2024