Prone Positioning for Pregnant Women With Hypoxemia Due to Coronavirus Disease 2019 (COVID-19)
Mary Catherine Tolcher, Julie McKinney, Catherine Eppes, David Muigai, Alireza A. Shamshirsaz, Kalpalatha K. Guntupalli, Joseph L. Nates
Abstract
( Obstet Gynecol . 2020;136:259–261) In pregnant patients undergoing ventilation, the goal is to achieve relative hypocapnia while also protecting the lungs by maintaining a safe tidal volume and plateau pressures. Mild hypercapnia (partial pressure of carbon dioxide 50 to 60 mm Hg) may be acceptable if needed to protect the lungs. When using strategies with high-positive end-expiratory pressure require continuous monitoring of mother and fetus.
Topics & Concepts
MedicineHypocapniaHypoxemiaCoronavirus disease 2019 (COVID-19)HypercapniaPlateau pressure2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Tidal volumeAnesthesiaFetusIntensive care medicineCardiologyInternal medicinePregnancyDiseaseRespiratory systemVirologyAcidosisInfectious disease (medical specialty)BiologyGeneticsOutbreakNeonatal Respiratory Health ResearchCOVID-19 Impact on ReproductionCongenital Diaphragmatic Hernia Studies