1. Prone Positioning in a Pregnant Woman With Severe Acute Respiratory Distress Syndrome: A Case Report.
- Author
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Xu, Jiahao, Fu, Fangjie, Ding, Qianrong, Wang, Bo, and Ji, Peng
- Subjects
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ADULT respiratory distress syndrome treatment , *OXYGEN saturation , *ADULT respiratory distress syndrome , *EXTRACORPOREAL membrane oxygenation , *INTENSIVE care nursing , *LYING down position , *PREGNANT women , *TREATMENT effectiveness , *PNEUMOTHORAX , *TRACHEA intubation , *GESTATIONAL age , *INTENSIVE care units , *COUGH , *DYSPNEA , *PATIENT positioning , *HYPOXEMIA , *HYPOTENSION - Abstract
Introduction: Prone ventilation is a standard treatment for acute respiratory distress syndrome, and its clinical benefits are well established. However, implementing prone positioning safely and effectively is challenging in patients who are pregnant, have intra-abdominal hypertension, or are in other high-risk groups. Clinical Findings and Diagnosis: A patient in the third trimester of pregnancy (28 weeks and 6 days of gestation) developed a body temperature of 39 °C and severe respiratory distress. She was transferred to the intensive care unit, received noninvasive ventilation, and ultimately underwent endotracheal intubation. Because her oxygenation index remained below 100, she received a diagnosis of severe acute respiratory distress syndrome. Interventions: The patient was safely placed in the prone position with a swim ring while receiving venovenous extracorporeal membrane oxygenation. During this period, her intra-abdominal pressure did not increase significantly. Outcomes: The fetus was delivered by cesarean birth, and the patient was transferred to the general ward after extubation. Conclusion: This case report describes the use of prone positioning in a pregnant patient. The report offers critical care nurses insights into the clinical management of patients who are pregnant or have intra-abdominal hypertension. [ABSTRACT FROM AUTHOR]
- Published
- 2025
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