• Clin Obstet Gynecol · Dec 2014

    Review

    Mechanical ventilation during pregnancy: sedation, analgesia, and paralysis.

    • Luis D Pacheco, George R Saade, and Gary D V Hankins.
    • *Departments of Obstetrics, Gynecology, and Anesthesiology, Divisions of Maternal Fetal Medicine and Surgical Critical Care †Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of Texas Medical Branch, Galveston, Texas.
    • Clin Obstet Gynecol. 2014 Dec 1;57(4):844-50.

    AbstractPregnant women occasionally require mechanical ventilation. Ventilated patients commonly need some form of analgesia and/or sedation with or without paralytics. The use of these agents is common in the intensive care unit setting, but most maternal-fetal medicine specialists are unfamiliar with their use. In the vast majority of cases, guidelines and recommendations regarding the use of these agents should be followed as recommended for nonpregnant individuals. This article discusses the most relevant issues of sedatives, analgesics, and neuromuscular blockers used in modern critical care practice.

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