Management principles of the critically ill obstetric patient

Uma Munnur; Venkata Bandi; Kalpalatha K Guntupalli

doi:10.1016/j.ccm.2010.10.003

Management principles of the critically ill obstetric patient

Clin Chest Med. 2011 Mar;32(1):53-60. doi: 10.1016/j.ccm.2010.10.003.

Authors

Uma Munnur¹, Venkata Bandi², Kalpalatha K Guntupalli²

Affiliations

¹ Department of Anesthesiology, Baylor College of Medicine, 1709 Dryden Road, Suite 1700, Houston, TX 77030, USA. Electronic address: umunnur@bcm.edu.
² Pulmonary, Critical Care and Sleep Medicine, Baylor College of Medicine, 1709 Dryden Road, 9th Floor, Houston, TX 77030, USA.

PMID: 21277449
DOI: 10.1016/j.ccm.2010.10.003

Abstract

The goals in management of critically ill obstetric patients involve intensive monitoring and physiologic support for patients with life-threatening but potentially reversible conditions. Management principles of the mother should also take the fetus and gestational age into consideration. The most common reasons for intensive care admissions (ICU) in the United States and United Kingdom are hypertensive disorders, sepsis, and hemorrhage. The critically ill obstetric patient poses several challenges to the clinicians involved in her care, because of the anatomic and physiologic changes that take place during pregnancy.

Publication types

Review

MeSH terms

Acute Kidney Injury / etiology
Acute Kidney Injury / therapy
Airway Management
Cardiomyopathies / etiology
Cardiomyopathies / therapy
Cardiopulmonary Resuscitation
Cesarean Section
Critical Care*
Critical Illness / epidemiology
Critical Illness / therapy*
Female
Humans
Hypertension, Pregnancy-Induced / therapy
Life Support Care
Physical Examination
Pregnancy
Pregnancy Complications / etiology
Pregnancy Complications / therapy*
Pregnancy Complications, Cardiovascular / therapy
Prenatal Care
Prevalence
Prognosis
Respiratory Distress Syndrome / etiology
Respiratory Distress Syndrome / therapy
Respiratory Therapy
Shock / therapy