Electrical impedance tomography may optimize ventilation in a postpartum woman with respiratory failure

被引：10
|
作者：
Karsten, J. [1 ,3 ]
Bohlmann, M. K. [2 ]
Sedemund-Adib, B. [3 ]
Wnent, J. [3 ]
Paarmann, H. [3 ]
Iblher, P. [3 ]
Meier, T. [4 ]
Heinze, H. [3 ]
机构：
[1] Hannover Med Sch, Dept Anaesthesiol & Intens Care, Hannover, Germany
[2] Univ Med Ctr Schleswig Holstein, Dept Obstet & Gynecol, Lubeck, Germany
[3] Univ Med Ctr Schleswig Holstein, Dept Anaesthesiol & Intens Care, Lubeck, Germany
[4] Bruderkrankenhaus St Josef, Dept Anaesthesiol, Paderborn, Germany
来源：
INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA | 2013年 / 22卷 / 01期
关键词：
Amniotic fluid embolism; Respiratory failure; Electrical impedance tomography; Mechanical ventilation; Positive end-expiratory pressure; AMNIOTIC-FLUID EMBOLISM; ACUTE LUNG INJURY; DERECRUITMENT; RECRUITMENT; PEEP; MANEUVER; SURGERY;
D O I：
10.1016/j.ijoa.2012.09.002
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Amniotic fluid embolism is a rare peripartum complication with the sudden onset of haemodynamic instability, respiratory failure and coagulopathy during labour or soon after delivery. A 31-year-old woman with amniotic fluid embolism was treated with vasopressors, inotropes, intravenous fluid, tranexamic acid and ventilatory support. Assessment of respiratory impairment was made using conventional chest X-ray, computed tomography and electrical impedance tomography. The potential for electrical impedance tomography to improve monitoring and guide respiratory therapy is explored. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码：67 / 71
页数：5
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