| Cesarean delivery for life-threatening status asthmaticus. | |
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MedLine Citation:
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PMID: 23344396 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: : Asthma remains a common chronic illness in pregnancy with the potential for catastrophic complications. Most women with asthma exacerbation can be treated with medical management and continuation of pregnancy. However, refractory cases may necessitate delivery for fetal or maternal indications. CASE: : We report a case of status asthmaticus at 33 weeks of gestation with significant maternal respiratory acidosis and difficulty with ventilation necessitating delivery by cesarean delivery in the medical intensive care unit. The patient was unresponsive to standard medical therapies. Delivery resulted in immediate improvement in maternal ventilation parameters. CONCLUSION: : In cases of life-threatening status asthmaticus refractory to standard medical and ventilatory therapies in the third trimester, cesarean delivery should be considered as a final effort to increase tidal volumes and improve maternal gas exchange. |
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Authors:
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Jamie O Lo; Jonathan Boltax; Torri D Metz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 121 ISSN: 1873-233X ISO Abbreviation: Obstet Gynecol Publication Date: 2013 Feb |
Date Detail:
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Created Date: 2013-01-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 422-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology and the Department of Internal Medicine, Pulmonary Division, University of Utah, Salt Lake, Utah. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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