Ventilatory Parameters in Obstetric Patients With COVID-19 and Impact of Delivery

Resuscitation in obstetric care

“…Plateau pressures and driving pressures in pregnant COVID-19 survivors were <30 cm H 2 O and <14 cm H 2 O, respectively. These values were higher in the nonsurvivor group 32 …”

Mechanical Ventilation and Delivery During Pregnancy

“…Neonatal risks are also significant with iatrogenic delivery, which led to early prematurity in 36% of the neonates in this study by Vasquez et al. 8 …”

“…Some retrospective case series have been published since then that have somewhat advanced our knowledge. 6 , 7 In this issue of CHEST , Vasquez et al 8 provide binational prospective data on the mechanical ventilation of pregnant patients. These authors are to be congratulated on having the foresight and determination to collect these valuable data during this difficult time.…”

“… 7 Oxygenation and driving pressure, a parameter associated with lung injury, demonstrated improvements after delivery predominantly in obese patients, although the condition of a few women deteriorated after delivery. The study from Vasquez et al 8 provides additional high-quality prospective data to this knowledge base. Overall, these data demonstrate the lack of universal significant improvement in compliance and driving pressure with delivery.…”

UpToDate

“…Limited data are available in pregnant females who are critically ill with COVID-19. In a cohort study of 91 such patients, lung mechanics and ventilatory parameters during advanced respiratory support were similar to nonpregnant patients with COVID-19 1. The Sequential (Sepsis-related) Organ Failure Assessment (SOFA) score was the only risk factor for invasive mechanical ventilation.…”