Management of critically ill obstetric patients: Management of critically ill obstetric patients

Touchapong Taksinwarajarn; Tananchai  Petnak

doi:10.54205/ccc.v33.273471

Authors

Touchapong Taksinwarajarn Division of Critical Care Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand, 10400
Tananchai Petnak Division of Pulmonary and Pulmonary Critical Care Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand, 10400

DOI:

https://doi.org/10.54205/ccc.v33.273471

Keywords:

Critical care in pregnancy, ICU, Pregnancy complications

Abstract

Pregnant patients requiring intensive care management present unique challenges due to physiological adaptations and pregnancy-specific conditions. While many aspects of critical care remain similar to non-pregnant patients, modifications in fluid resuscitation, medication selection, ventilatory support, and anticoagulation strategies are important to balance maternal stabilization with fetal safety. A multidisciplinary team approach, including obstetricians, intensivists, anesthesiologists, and neonatologists, is necessary for the effective management of critically ill pregnant patients. This review outlines key considerations in the critical care of pregnant patients, including hemodynamic, respiratory, and airway management, as well as sedation, thromboprophylaxis, and nutritional support. Additionally, pregnancy-related complications such as preeclampsia, pulmonary embolism, amniotic fluid embolism, and air embolism require specialized diagnostic and therapeutic approaches to ensure optimal maternal and fetal outcomes.

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Management of critically ill obstetric patients