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CASE REPORT
Year : 2019  |  Volume : 13  |  Issue : 4  |  Page : 692-694

Role of transnasal humidified rapid-insufflation ventilatory exchange therapy in the management of a twin pregnancy with H1N1 infection in early acute respiratory distress syndrome


Department of Anaesthesia and Critical Care, Command Hospital (SC) Armed Forces Medical College, Pune, Maharashtra, India

Correspondence Address:
Rabi Narayan Hota
Department of Anaesthesia and Critical Care, Command Hospital (SC) Armed Forces Medical College, Pune - 411 040, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aer.AER_124_19

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Pregnancy with H1N1 infection presenting with early acute respiratory distress syndrome (ARDS) is a challenging situation, where the life of both mother and fetus are jeopardized. Morbidity and mortality in such a clinical situation are not uncommon; it may result in hypoxemic acute respiratory failure in a pregnant patient, leading to mechanical ventilation and poorer outcomes in neonates due to prematurity. An interdisciplinary approach involving obstetricians, respiratory physicians, neonatologist, and anesthesiologist is mandatory for a good outcome. This case report highlights the management strategy of the parturient infected with H1N1 in early ARDS with the Transnasal Humidified Rapid-Insufflation Ventilatory Exchange therapy, which completely obviated the requirement of the invasive ventilation.


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