Acute Respiratory Distress Syndrome (ARDS) in Pregnancy
ARDS is a condition of severe permeability pulmonary oedema with respiratory failure. Though not very common, it is an important cause of acute hypoxaemic respiratory failure during pregnancy. Since studies on ARDS in pregnancy are limited to case series, the management is based on studies performed in non-pregnant patients. Definition, aetiology, pathogenesis, clinical course, prognosis and management are discussed here.
Though they are younger and healthier, pregnant women who develop ARDS carry a high mortality rate of 25–40 %. Pre-eclampsia, eclampsia, sepsis, tocolytic therapy, amniotic fluid embolism, transfusion-related acute lung injury (TRALI) in obstetric haemorrhage and aspiration pneumonitis are the major causes for ARDS in pregnancy. Prediction, early detection and prompt management will help in saving the mother and baby. Most of them require ventilatory support.
KeywordsAcute Respiratory Distress Syndrome Acute Pyelonephritis Cardiogenic Pulmonary Oedema Oncotic Pressure Amniotic Fluid Embolism
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