Management of Acute Respiratory Distress Syndrome with H1N1 Influenza Virus in Pregnancy: Successful Mechanical Ventilation and Weaning with Airway Pressure Release Ventilation


PEHLİVANLAR KÜÇÜK M., ÖZTÜRK Ç. E., Köylü İlkaya N., EYÜPOĞLU S., ÜLGER F., ŞAHİNOĞLU A. H.

Turkish Journal of Anesthesia and Reanimation, vol.46, no.1, pp.62-65, 2018 (ESCI) identifier identifier identifier

  • Publication Type: Article / Case Report
  • Volume: 46 Issue: 1
  • Publication Date: 2018
  • Doi Number: 10.5152/tjar.2017.33044
  • Journal Name: Turkish Journal of Anesthesia and Reanimation
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.62-65
  • Keywords: Acute respiratory distress syndrome, pregnancy, airway pressure release ventilation, influenza-A, LUNG INJURY, FAILURE, PATIENT
  • Karadeniz Technical University Affiliated: No

Abstract

In pregnancy, infection with H1N1 influenza virus may produce symptoms similar to infection with seasonal influenza virus. Patients may rarely come with a clinical condition causing severe acute respiratory distress syndrome (ARDS) and death. Therefore, mechanical-ventilation strategies to manage these events are vital. We report a case of ARDS after an infection with H1N1 influenza A in a 33-year-old patient pregnant at 27-weeks. The ARDS was successfully managed by airway pressure release ventilation (APRV). APRV can be used successfully as an alternative to conventional mechanical ventilation modes in pregnant patients experiencing severe respiratory failure.