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  1. Article ; Online: Acute Respiratory Failure in Pregnancy.

    Lapinsky, Stephen E / Vasquez, Daniela N

    Critical care clinics

    2024  Volume 40, Issue 2, Page(s) 353–366

    Abstract: Respiratory failure may affect up to 1 in 500 pregnancies, due to pregnancy-specific conditions, conditions aggravated by the pregnant state, or other causes. Management during pregnancy is influenced by altered maternal physiology, and the presence of a ...

    Abstract Respiratory failure may affect up to 1 in 500 pregnancies, due to pregnancy-specific conditions, conditions aggravated by the pregnant state, or other causes. Management during pregnancy is influenced by altered maternal physiology, and the presence of a fetus influencing imaging, and drug therapy choices. Few studies have addressed the approach to invasive mechanical ventilatory management in pregnancy. Hypoxemia is likely harmful to the fetus, but precise targets are unknown. Hypocapnia reduces uteroplacental circulation, and some degree of hypercapnia may be tolerated in pregnancy. Delivery of the fetus may be considered to improve maternal respiratory status but improvement does not always occur.
    MeSH term(s) Female ; Pregnancy ; Humans ; Respiratory Distress Syndrome ; Family
    Language English
    Publishing date 2024-01-30
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1006423-0
    ISSN 1557-8232 ; 0749-0704
    ISSN (online) 1557-8232
    ISSN 0749-0704
    DOI 10.1016/j.ccc.2024.01.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Obstetric Medicine

    Lapinsky, Stephen E / Frise, Charlotte J

    Obstetric medicine

    2023  Volume 16, Issue 3, Page(s) 141

    Language English
    Publishing date 2023-08-31
    Publishing country England
    Document type Editorial
    ZDB-ID 2612229-7
    ISSN 1753-4968 ; 1753-495X
    ISSN (online) 1753-4968
    ISSN 1753-495X
    DOI 10.1177/1753495X231195702
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Editorial: Meetings, education and collaboration.

    Lapinsky, Stephen E / Gehlert, Jessica / Frise, Charlotte J

    Obstetric medicine

    2023  Volume 16, Issue 4, Page(s) 209–210

    Language English
    Publishing date 2023-12-08
    Publishing country England
    Document type Editorial
    ZDB-ID 2612229-7
    ISSN 1753-4968 ; 1753-495X
    ISSN (online) 1753-4968
    ISSN 1753-495X
    DOI 10.1177/1753495X231216514
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Mechanical Ventilation and Delivery During Pregnancy.

    Lapinsky, Stephen E / Viau-Lapointe, Julien

    Chest

    2023  Volume 163, Issue 3, Page(s) 473–474

    MeSH term(s) Pregnancy ; Female ; Humans ; Respiration, Artificial ; Pregnancy Complications/therapy ; Retrospective Studies
    Language English
    Publishing date 2023-03-07
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2022.10.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: COVID-19, variants of concern and pregnancy outcome.

    Lapinsky, Stephen E / Adhikari, Neill Kj

    Obstetric medicine

    2021  Volume 14, Issue 2, Page(s) 65–66

    Language English
    Publishing date 2021-08-03
    Publishing country England
    Document type Editorial
    ZDB-ID 2612229-7
    ISSN 1753-4968 ; 1753-495X
    ISSN (online) 1753-4968
    ISSN 1753-495X
    DOI 10.1177/1753495X211028499
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  6. Article: Maternal critical care.

    Lapinsky, Stephen E

    Obstetric medicine

    2017  Volume 10, Issue 2, Page(s) 51–52

    Language English
    Publishing date 2017-06-13
    Publishing country England
    Document type Editorial
    ZDB-ID 2612229-7
    ISSN 1753-4968 ; 1753-495X
    ISSN (online) 1753-4968
    ISSN 1753-495X
    DOI 10.1177/1753495X17708715
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Two years later.

    Frise, Charlotte / Lapinsky, Stephen E

    Obstetric medicine

    2020  Volume 13, Issue 4, Page(s) 153

    Language English
    Publishing date 2020-12-01
    Publishing country England
    Document type Editorial
    ZDB-ID 2612229-7
    ISSN 1753-4968 ; 1753-495X
    ISSN (online) 1753-4968
    ISSN 1753-495X
    DOI 10.1177/1753495X20978051
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Management of Acute Respiratory Failure in Pregnancy.

    Lapinsky, Stephen E

    Seminars in respiratory and critical care medicine

    2017  Volume 38, Issue 2, Page(s) 201–207

    Abstract: Respiratory failure affects up to 1 in 500 pregnancies, more commonly in the postpartum period. The causes of respiratory failure include several pregnancy-specific conditions such as preeclampsia, amniotic fluid embolism, and peripartum cardiomyopathy. ... ...

    Abstract Respiratory failure affects up to 1 in 500 pregnancies, more commonly in the postpartum period. The causes of respiratory failure include several pregnancy-specific conditions such as preeclampsia, amniotic fluid embolism, and peripartum cardiomyopathy. Pregnancy may also increase the risk or severity of other conditions, such as asthma, thromboembolism, viral pneumonitis, and gastric acid aspiration. Changes to maternal respiratory physiology and the presence of a fetus may affect the assessment and management of these patients. In addition to identifying pregnancy-specific causes, some differences exist in the management of the pregnant woman with acute respiratory failure. Endotracheal intubation in pregnancy carries a significant risk, due to upper airway edema and rapid oxygen desaturation following apnea. Few studies have addressed prolonged mechanical ventilation management in pregnancy. Optimizing oxygenation is important, but whether permissive hypercapnia is tolerated during pregnancy remains unclear. Delivery of the fetus is often considered but does not always improve maternal respiratory function and should be reserved only for cases where benefit to the fetus is anticipated.
    Language English
    Publishing date 2017-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1183617-9
    ISSN 1098-9048 ; 1069-3424
    ISSN (online) 1098-9048
    ISSN 1069-3424
    DOI 10.1055/s-0037-1600909
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Editorial.

    Lapinsky, Stephen E / Frise, Charlotte

    Obstetric medicine

    2018  Volume 11, Issue 4, Page(s) 153

    Language English
    Publishing date 2018-12-13
    Publishing country England
    Document type Editorial
    ZDB-ID 2612229-7
    ISSN 1753-4968 ; 1753-495X
    ISSN (online) 1753-4968
    ISSN 1753-495X
    DOI 10.1177/1753495X18811241
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  10. Article: The OB Medicine Discussion listserv.

    Carson, Michael P / Lapinsky, Stephen E

    Obstetric medicine

    2018  Volume 11, Issue 3, Page(s) 103

    Language English
    Publishing date 2018-09-06
    Publishing country England
    Document type Editorial
    ZDB-ID 2612229-7
    ISSN 1753-4968 ; 1753-495X
    ISSN (online) 1753-4968
    ISSN 1753-495X
    DOI 10.1177/1753495X18776221
    Database MEDical Literature Analysis and Retrieval System OnLINE

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