[在COVID-19时代怀孕第三个三个月的俯卧姿势:跨学科的方法.]
Aurio Fajardo1, Asariel Rodríguez2, Carmen Chica3
1Servicio de Medicina Interna - Unidad de Paciente Crítico. Head of WeVent (International Mechanical Ventilation Group), Viña del Mar, Chile.
倾斜的位置可能有利于孕妇患有严重急性呼吸困扰综合征 (ARDS),尽管证据有限. 对母亲和胎儿的好处通常超过使用根据个体需求量身定制的机械通风的风险.
科学领域:
- 关键护理医学 关键护理医学
- 产科 产科 产科 产科 产科
- 肺部病理学 肺部病理学
背景情况:
- 在孕妇患者中,严重急性呼吸困扰综合征 (ARDS) 存在独特的管理挑战.
- 有限的证据表明,在这个人群中,侵入性呼吸系统支持和易受影响的定位存在.
- 怀孕期间的生理和解剖学变化需要在机械通风过程中仔细考虑.
研究的目的:
- 审查目前关于孕妇严重ARDS易感定位的有限证据.
- 突出个性化机械通风策略的重要性.
- 强调在怀孕期间管理ARDS的多学科临床判断.
主要方法:
- 在孕妇患者中对ARDS研究的文献综述.
- 在怀孕期间与通风相关的生理适应的分析.
- 讨论易感定位的风险-收益概况.
主要成果:
- 对于ARDS孕妇的倾斜定位的证据很少.
- 怀孕中的生理变化需要量身定制的呼吸系统支持.
- 容易通风对母亲和胎儿的好处似乎超过了风险.
结论:
- 倾斜的定位可以对患有严重ARDS的孕妇有益.
- 个性化的机械通风器设置至关重要.
- 关于终止妊娠的决定应该涉及多学科评估和胎儿监测.
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