Document Detail

Critical care of the obstetric patient.
MedLine Citation:
PMID:  16946443     Owner:  NLM     Status:  MEDLINE    
The obstetric patient poses exceptional challenges in the intensive care unit. Knowledge of the physiologic changes of pregnancy and specific pregnancy-related disorders is necessary for optimal management. Intensive care unit diagnoses may include preeclampsia, including the HELLP syndrome, pulmonary embolic disease, amniotic fluid embolism, status asthmaticus, respiratory infection, the acute respiratory distress syndrome, and sepsis. The management of mechanical ventilation is based on principles of avoiding lung injury, and hypercapnia may be tolerated even during the pregnancy. When the clinician is faced with the extraordinary instance of cardiopulmonary arrest, perimortem cesarean delivery must be considered to improve the potential for maternal and fetal survival.
Janet M Shapiro
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of intensive care medicine     Volume:  21     ISSN:  0885-0666     ISO Abbreviation:  J Intensive Care Med     Publication Date:    2006 Sep-Oct
Date Detail:
Created Date:  2006-09-01     Completed Date:  2007-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8610344     Medline TA:  J Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  278-86     Citation Subset:  IM    
Medical Intensive Care Unit, St. Luke's Hospital, Columbia University, New York, New York 10025, USA.
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MeSH Terms
Cardiopulmonary Resuscitation
Cesarean Section
Critical Care / methods*
Pregnancy Complications / therapy*
Pregnancy Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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