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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care
Minerva Anestesiologica 2011 November;77(11):1121-3
Successful application of helmet non-invasive ventilation in a parturient with acute respiratory distress syndrome
Frassanito L., Draisci G., Pinto R., Maviglia R., Maggiore S. M. ✉
Department of Anesthesiology and Intensive Care, Policlinico Agostino Gemelli, Sacro Cuore Catholic University, Rome, Italy; Policlinico Agostino Gemelli, Sacro Cuore Catholic University, Rome, Italy
Acute respiratory distress syndrome (ARDS) is an important cause of morbidity and mortality during pregnancy. The case of a twin pregnant woman in her 28th week who developed infection-related ARDS, undergoing a cesarean section for premature membrane rupture is described. It was performed epidural anaesthesia and helmet non-invasive ventilation (NIV) during the postoperative period. The combination of epidural anesthesia with NIV helped to restore physiological gas-exchange and to prevent common complications associated with a more invasive approach.