Anesthesia: Essays and Researches

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


Deepak Dwivedi, Jagdeep Singh Bhatia, Rabi Narayan Hota, Saurabh Sud 
 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

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.


How to cite this article:
Dwivedi D, Bhatia JS, Hota RN, Sud S. 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.Anesth Essays Res 2019;13:692-694


How to cite this URL:
Dwivedi D, Bhatia JS, Hota RN, Sud S. 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. Anesth Essays Res [serial online] 2019 [cited 2020 Sep 29 ];13:692-694
Available from: http://www.aeronline.org/article.asp?issn=0259-1162;year=2019;volume=13;issue=4;spage=692;epage=694;aulast=Dwivedi;type=0