Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
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CASE REPORT
Year : 2007  |  Volume : 2  |  Issue : 1  |  Page : 23-25

Use of noninvasive positive pressure ventilation during pregnancy: Case series


Salmaniya Medical Complex, Ministry of Health, Kingdom of Bahrain

Correspondence Address:
Mariam A Al-Ansari
Consultant Intensivist, Intensive Care Unit, Salmaniya Medical Complex, Manama, PO Box 12, Kingdom of Bahrain

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DOI: 10.4103/1817-1737.30358

PMID: 19724671

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Mechanical ventilation is commonly required in critically ill pregnant patients, requiring ICU admission, with higher morbidity and mortality related to airway management. Alternatively, noninvasive positive pressure ventilation (NIPPV) is increasingly used to treat nonpregnant patients. Pregnancy has been a contraindication to its use. We would like to report a case series of successful use of NIPPV in pregnancy. NIPPV is increasingly used to treat hypoxemic respiratory failure. It has rarely been used during pregnancy. On the other hand, acute respiratory failure (ARF) remains a leading cause of ICU admission in obstetric patients. The use of NIPPV in managing ARF in pregnant patients was not investigated. We report the outcome of treatment with NIPPV of four sickle cell disease pregnant patients with ARF caused by acute chest syndrome. Median APACHE II score for the four cases was 27. Intubation was avoided in all cases. None had aspiration. Mean duration of NIPPV was 40 h with ICU discharge after a mean of 4 days.


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