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COVID-19 ARDS in Pregnancy: Implications for the Non-COVID Era

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Annual Update in Intensive Care and Emergency Medicine 2023

Part of the book series: Annual Update in Intensive Care and Emergency Medicine ((AUICEM))

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Abstract

In this chapter we will review the general aspects of acute respiratory distress syndrome (ARDS) in pregnancy including obstetric and non-obstetric risk factors. The main characteristics of ARDS induced by COVID-19 in pregnancy will then be discussed as well as details on lung mechanics and potential strategies to ventilate these patients including prone positioning. Pharmacologic treatment in pregnant patients with COVID-19 (e.g., steroids, immunotherapies, antivirals, and thromboprophylaxis) will also be discussed, as well as the indications for the timing and mode of delivery and the role of extracorporeal membrane oxygenation (ECMO) to manage refractory cases.

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Author information

Authors and Affiliations

  1. Pediatric Intensive Care Unit, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy

    M. Di Nardo

  2. Dipartimento di Scienze Mediche e Chirurgiche (DIMEC), Anesthesia and Intensive Care Medicine, Policlinico di Sant’Orsola, IRCCS, Alma Mater Studiorum University of Bologna, Bologna, Italy

    M. C. Casadio & V. M. Ranieri

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  1. M. Di Nardo
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  2. M. C. Casadio
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  3. V. M. Ranieri
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Correspondence to V. M. Ranieri .

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Editors and Affiliations

  1. Department of Intensive Care, Erasme University Hospital Université libre de Bruxelles, Brussels, Belgium

    Jean-Louis Vincent

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Di Nardo, M., Casadio, M.C., Ranieri, V.M. (2023). COVID-19 ARDS in Pregnancy: Implications for the Non-COVID Era. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2023. Annual Update in Intensive Care and Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-031-23005-9_35

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  • DOI: https://doi.org/10.1007/978-3-031-23005-9_35

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-23004-2

  • Online ISBN: 978-3-031-23005-9

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