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2018 | OriginalPaper | Buchkapitel

24. Intensivtherapie bei Schwangeren

verfasst von : Prof. Dr. D. Bremerich, Dr. S. T. Neuhaus

Erschienen in: Die geburtshilfliche Anästhesie

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Die Geburt eines Kindes ist ein Schlüsselerlebnis im Leben von Frauen und ihren Familien. Die wenigen Frauen, die peripartal einer intensivmedizinischen Überwachung oder Therapie bedürfen, sollten entsprechend denselben hohen klinischen Standards behandelt werden, wie sie bei allen anderen intensivtherapiepflichtigen Patienten auch angewendet werden, unter zusätzlicher Berücksichtigung der spezifischen schwangerschaftsassoziierten physiologischen und pathophysiologischen Besonderheiten. Diese schwangerschaftsspezifischen Konstellationen werden mit ihrer Auftretenswahrscheinlichkeit, der Pathophysiologie, der Behandlung und auch der weiteren Betreuung im Kapitel Intensivtherapie bei Schwangeren dargestellt.
Literatur
Zurück zum Zitat Abalos E, Cuesta C, Grosso AL, Chou D, Say L (2013) Global and regional estimates of preeclampsia and eclampsia: a systematic review. Eur J Obstet Gynecol Reprod Biol 170:1–7 Abalos E, Cuesta C, Grosso AL, Chou D, Say L (2013) Global and regional estimates of preeclampsia and eclampsia: a systematic review. Eur J Obstet Gynecol Reprod Biol 170:1–7
Zurück zum Zitat ACOG (2013) Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on hypertension in pregnancy. Obstet Gynecol 122:1122–31 ACOG (2013) Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on hypertension in pregnancy. Obstet Gynecol 122:1122–31
Zurück zum Zitat Acosta CD, Kurinczuk JJ, Lucas DN, Lucas DN, Tuffnell DJ, Sellers S, Knight M; United Kingdom Obstetric Surveillance System (2014) Severe maternal sepsis in the UK, 2011–2012: a national case-control study. PLoS Med 8;11(7):e1001672 Acosta CD, Kurinczuk JJ, Lucas DN, Lucas DN, Tuffnell DJ, Sellers S, Knight M; United Kingdom Obstetric Surveillance System (2014) Severe maternal sepsis in the UK, 2011–2012: a national case-control study. PLoS Med 8;11(7):e1001672
Zurück zum Zitat Ananth CV, Keyes KM, Wapner RJ (2013) Pre-eclampsia rates in the United States, 1980–2010: age-period analysis. BMJ 347:f6564 Ananth CV, Keyes KM, Wapner RJ (2013) Pre-eclampsia rates in the United States, 1980–2010: age-period analysis. BMJ 347:f6564
Zurück zum Zitat Anwari JS, Butt AA, Al-Dar MA (2004) Obstetric admissions to the intensive care unit. Saudi Med J 25:1394–9 Anwari JS, Butt AA, Al-Dar MA (2004) Obstetric admissions to the intensive care unit. Saudi Med J 25:1394–9
Zurück zum Zitat Arany Z, Elkayam U (2016) Peripartum Cardiomyopathy. Circulation 133:1397–409 Arany Z, Elkayam U (2016) Peripartum Cardiomyopathy. Circulation 133:1397–409
Zurück zum Zitat Bandeira AR, Rezende CA, Reis ZS, Barbosa AR, Peret FJ, Cabral AC (2014) Epidemiologic profile, survival, and maternal prognosis factors among women at an obstetric intensive care unit. Int J Gynaecol Obstet 124:63–6 Bandeira AR, Rezende CA, Reis ZS, Barbosa AR, Peret FJ, Cabral AC (2014) Epidemiologic profile, survival, and maternal prognosis factors among women at an obstetric intensive care unit. Int J Gynaecol Obstet 124:63–6
Zurück zum Zitat Boyd R, Teece S (2002) Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Perimortem caesarean section. Emerg Med J 19:324–5 Boyd R, Teece S (2002) Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Perimortem caesarean section. Emerg Med J 19:324–5
Zurück zum Zitat Conde-Agudelo A, Romero R (2009) Amniotic fluid embolism: an evidence-based review. Am J Obstet Gynecol 201: 445.e1–13 Conde-Agudelo A, Romero R (2009) Amniotic fluid embolism: an evidence-based review. Am J Obstet Gynecol 201: 445.e1–13
Zurück zum Zitat Dennis AT (2015) Transthoracic echocardiography in women with preeclampsia. Curr Opin Anesthesiol 28:254–60 Dennis AT (2015) Transthoracic echocardiography in women with preeclampsia. Curr Opin Anesthesiol 28:254–60
Zurück zum Zitat Duley L, Meher S, Jones L (2013) Drugs for treatment of very high blood pressure during pregnancy. Cochrane Database Syst Rev 7: CD001449 Duley L, Meher S, Jones L (2013) Drugs for treatment of very high blood pressure during pregnancy. Cochrane Database Syst Rev 7: CD001449
Zurück zum Zitat Fetsch NI, Bremerich DH (2008) Anästhesie bei Patientinnen mit Präeklampsie und Eklampsie. Anaesthesist 57: 87–102 Fetsch NI, Bremerich DH (2008) Anästhesie bei Patientinnen mit Präeklampsie und Eklampsie. Anaesthesist 57: 87–102
Zurück zum Zitat Goucher H, Wong CA, Patel SK, Toledo P (2015) Cell Salvage in Obstetrics. Anesth Analg 121:465–8 Goucher H, Wong CA, Patel SK, Toledo P (2015) Cell Salvage in Obstetrics. Anesth Analg 121:465–8
Zurück zum Zitat Guntupalli KK, Hall N, Karnad DR, Bandi V, Belfort M (2015) Critical illness in Pregnancy. Part I: An approach to a pregnant patient in the ICU and common obstetric disorders. Chest148:1093–1104 Guntupalli KK, Hall N, Karnad DR, Bandi V, Belfort M (2015) Critical illness in Pregnancy. Part I: An approach to a pregnant patient in the ICU and common obstetric disorders. Chest148:1093–1104
Zurück zum Zitat Johnson-Coyle L, Jensen L, Sobey A; American College of Cardiology Foundation; American Heart Association (2012) Peripartum cardiomyopathy: review and practice guidelines. Am J Crit Care 21:89–98 Johnson-Coyle L, Jensen L, Sobey A; American College of Cardiology Foundation; American Heart Association (2012) Peripartum cardiomyopathy: review and practice guidelines. Am J Crit Care 21:89–98
Zurück zum Zitat Kanayama N, Tamura N (2014) Amniotic fluid embolism: pathophysiology, and new strategies for management. J Obstet Gynaecol Res 40:1507–17 Kanayama N, Tamura N (2014) Amniotic fluid embolism: pathophysiology, and new strategies for management. J Obstet Gynaecol Res 40:1507–17
Zurück zum Zitat Knight M, Kenyon S, Brocklehurst P, Neilson J, Shakespeare J, Kurinczuk JJ (eds) on behalf of MBRRACE-UK (2014). Saving Lives, Improving Mothers’ Care – Lessons learned to inform future maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009–12. Oxford: National Perinatal Epidemiology Unit, University of Oxford 2014. https://www.npeu.ox.ac.uk/downloads/files/mbrrace-uk/reports/Saving %20Lives %20Improving %20Mothers %20Care %20report %202014 %20Full.pdf Knight M, Kenyon S, Brocklehurst P, Neilson J, Shakespeare J, Kurinczuk JJ (eds) on behalf of MBRRACE-UK (2014). Saving Lives, Improving Mothers’ Care – Lessons learned to inform future maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009–12. Oxford: National Perinatal Epidemiology Unit, University of Oxford 2014. https://​www.​npeu.​ox.​ac.​uk/​downloads/​files/​mbrrace-uk/​reports/​Saving %20Lives %20Improving %20Mothers %20Care %20report %202014 %20Full.pdf
Zurück zum Zitat Knight M, Tuffnell D, Kenyon S, Shakespeare J, Gray R, Kurinczuk JJ (eds) on behalf of MBRRACE-UK (2015). Saving Lives, Improving Mothers’ Care – Surveillance of maternal deaths in the UK 2011–13 and lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009–13. Oxford: National Perinatal Epidemiology Unit, University of Oxford 2015. https://www.npeu.ox.ac.uk/downloads/files/mbrrace-uk/reports/MBRRACE-UK %20Maternal %20Report %202015.pdf Knight M, Tuffnell D, Kenyon S, Shakespeare J, Gray R, Kurinczuk JJ (eds) on behalf of MBRRACE-UK (2015). Saving Lives, Improving Mothers’ Care – Surveillance of maternal deaths in the UK 2011–13 and lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009–13. Oxford: National Perinatal Epidemiology Unit, University of Oxford 2015. https://​www.​npeu.​ox.​ac.​uk/​downloads/​files/​mbrrace-uk/​reports/​MBRRACE-UK %20Maternal %20Report %202015.pdf
Zurück zum Zitat Kozek-Langenecker SA, Ahmed AB, Afshari AP (2016) Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology. Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology: First update 2016. Eur J Anaesthesiol 34:332–395 Kozek-Langenecker SA, Ahmed AB, Afshari AP (2016) Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology. Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology: First update 2016. Eur J Anaesthesiol 34:332–395
Zurück zum Zitat Lavigne-Lissalde G, Aya AG, Mercier FJ, Roger-Christoph S, Chauleur C, Morau E, Ducloy-Bouthors AS, Mignon A, Raucoules M, Bongain A, Boehlen F, de Moerloose P, Bouvet S, Fabbro-Peray P, Gris JC (2015) Recombinant human FVIIa for reducing the need for invasive second-line therapies in severe refractory postpartum hemorrhage: a multicenter, randomized, open controlled trial. J Thromb Haemost 13:520–9 Lavigne-Lissalde G, Aya AG, Mercier FJ, Roger-Christoph S, Chauleur C, Morau E, Ducloy-Bouthors AS, Mignon A, Raucoules M, Bongain A, Boehlen F, de Moerloose P, Bouvet S, Fabbro-Peray P, Gris JC (2015) Recombinant human FVIIa for reducing the need for invasive second-line therapies in severe refractory postpartum hemorrhage: a multicenter, randomized, open controlled trial. J Thromb Haemost 13:520–9
Zurück zum Zitat Leung NY, Lau AC, Chan KK, Yan WW (2010) Clinical characteristics and outcomes of obstetric patients admitted to the Intensive Care Unit: a 10-year retrospective review. Hong Kong Med J 16:18–25 Leung NY, Lau AC, Chan KK, Yan WW (2010) Clinical characteristics and outcomes of obstetric patients admitted to the Intensive Care Unit: a 10-year retrospective review. Hong Kong Med J 16:18–25
Zurück zum Zitat Mahutte NG, Murphy-Kaulbeck L, Le Q, Solomon J, Benjamin A, Boyd ME (1999) Obstetric admissions to the intensive care unit. Obstet Gynecol 94:263–6 Mahutte NG, Murphy-Kaulbeck L, Le Q, Solomon J, Benjamin A, Boyd ME (1999) Obstetric admissions to the intensive care unit. Obstet Gynecol 94:263–6
Zurück zum Zitat Main EK, McCain CL, Morton CH, Holtby S, Lawton ES (2015) Pregnancy-related mortality in California: causes, characteristics, and improvement opportunities. Obstet Gynecol 125:938–47 Main EK, McCain CL, Morton CH, Holtby S, Lawton ES (2015) Pregnancy-related mortality in California: causes, characteristics, and improvement opportunities. Obstet Gynecol 125:938–47
Zurück zum Zitat Monsieurs KG, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, Perkins GD, Soar J, Truhlář A, Wyllie J, Zideman DA; ERC Guidelines 2015 Writing Group (2015) European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summary. Resuscitation 95:1–80 Monsieurs KG, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, Perkins GD, Soar J, Truhlář A, Wyllie J, Zideman DA; ERC Guidelines 2015 Writing Group (2015) European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summary. Resuscitation 95:1–80
Zurück zum Zitat Novikova N, Hofmeyr GJ, Cluver C (2015) Tranexamic acid for preventing postpartum haemorrhage. Cochrane Database Syst Rev 16(6):CD007872 Novikova N, Hofmeyr GJ, Cluver C (2015) Tranexamic acid for preventing postpartum haemorrhage. Cochrane Database Syst Rev 16(6):CD007872
Zurück zum Zitat Oud L, Watkins P (2015) Evolving trends in epidemiology, resource utilization, and outcomes of pregnancy-associated severe sepsis: a population-based cohort study. J Clin Med Res 7:400–16 Oud L, Watkins P (2015) Evolving trends in epidemiology, resource utilization, and outcomes of pregnancy-associated severe sepsis: a population-based cohort study. J Clin Med Res 7:400–16
Zurück zum Zitat Pant M, Fong R, Scavone B (2014) Prevention of peri-induction hypertension in preeclamptic patients: a focused review. Anesth Analg 119:1350–6 Pant M, Fong R, Scavone B (2014) Prevention of peri-induction hypertension in preeclamptic patients: a focused review. Anesth Analg 119:1350–6
Zurück zum Zitat Patel SJ, Reede DL, Katz DS, Subramaniam R, Amorosa JK (2007) Imaging the pregnant patient for nonobstetric conditions: algorithms and radiation dose considerations. Radiographics 27:1705–22 Patel SJ, Reede DL, Katz DS, Subramaniam R, Amorosa JK (2007) Imaging the pregnant patient for nonobstetric conditions: algorithms and radiation dose considerations. Radiographics 27:1705–22
Zurück zum Zitat Patil V, Wong M, Wijayatilake DS (2016) Clinical »pearls« of maternal critical care: Part 1. Curr Opin Anesthesiol 29:304–16 Patil V, Wong M, Wijayatilake DS (2016) Clinical »pearls« of maternal critical care: Part 1. Curr Opin Anesthesiol 29:304–16
Zurück zum Zitat Rath W (1998) Das HELLP-Syndrom – eine interdisziplinäre Herausforderung. Dtsch Arztebl 95(47): A-2997-A3002 C-2367 Rath W (1998) Das HELLP-Syndrom – eine interdisziplinäre Herausforderung. Dtsch Arztebl 95(47): A-2997-A3002 C-2367
Zurück zum Zitat Report from the Intensive Care National Audit & Research Centre (2013) Female admissions (aged 16–50 years) to adult, general critical care units in England, Wales and Northern Ireland reported as »currently pregnant« or »recently pregnant«. 1 January 2009 to 31 December 2012. https://www.oaa-anaes.ac.uk/assets/_managed/cms/files/Obstetric %20admissions %20to %20critical %20care %202009–2012 %20- %20FINAL.pdf Report from the Intensive Care National Audit & Research Centre (2013) Female admissions (aged 16–50 years) to adult, general critical care units in England, Wales and Northern Ireland reported as »currently pregnant« or »recently pregnant«. 1 January 2009 to 31 December 2012. https://​www.​oaa-anaes.​ac.​uk/​assets/​_​managed/​cms/​files/​Obstetric %20admissions %20to %20critical %20care %202009–2012 %20- %20FINAL.pdf
Zurück zum Zitat Richa F, Karim N, Yazbeck P (2008) Obstetric admissions to the intensive care unit: an eight-year review. J Med Liban 56:215–9 Richa F, Karim N, Yazbeck P (2008) Obstetric admissions to the intensive care unit: an eight-year review. J Med Liban 56:215–9
Zurück zum Zitat Rimawi BH, Green V, Lindsay M (2016) Fetal Implications of Diagnostic Radiation Exposure During Pregnancy: Evidence-based Recommendations. Clin Obstet Gynecol. 59:412–8 Rimawi BH, Green V, Lindsay M (2016) Fetal Implications of Diagnostic Radiation Exposure During Pregnancy: Evidence-based Recommendations. Clin Obstet Gynecol. 59:412–8
Zurück zum Zitat Rios FG, Risso-Vázquez A, Alvarez J, Vinzio M, Falbo P, Rondinelli N, Bienzobas DH (2012) Clinical characteristics and outcomes of obstetric patients admitted to the intensive care unit. Int J Gynaecol Obstet 119:136–40 Rios FG, Risso-Vázquez A, Alvarez J, Vinzio M, Falbo P, Rondinelli N, Bienzobas DH (2012) Clinical characteristics and outcomes of obstetric patients admitted to the intensive care unit. Int J Gynaecol Obstet 119:136–40
Zurück zum Zitat Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M; Early Goal-Directed Therapy Collaborative Group (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. NEJM 345:1368–77 Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M; Early Goal-Directed Therapy Collaborative Group (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. NEJM 345:1368–77
Zurück zum Zitat Schürholz T, Marx G (2015) Diagnose und Therapie der Sepsis. In: Marx G, Muhl E, Zacharowski K, Zeuzem S (Hrsg.) Die Intensivmedizin, 12. Auflage. Springer, Berlin Heidelberg, S. 972–81 Schürholz T, Marx G (2015) Diagnose und Therapie der Sepsis. In: Marx G, Muhl E, Zacharowski K, Zeuzem S (Hrsg.) Die Intensivmedizin, 12. Auflage. Springer, Berlin Heidelberg, S. 972–81
Zurück zum Zitat Selo-Ojeme DO, Omosaiye M, Battacharjee P, Kadir RA (2005) Risk factors for obstetric admissions to the intensive care unit in a tertiary hospital: a case-control study. Arch Gynecol Obstet 272:207–10 Selo-Ojeme DO, Omosaiye M, Battacharjee P, Kadir RA (2005) Risk factors for obstetric admissions to the intensive care unit in a tertiary hospital: a case-control study. Arch Gynecol Obstet 272:207–10
Zurück zum Zitat Singer M, Deutschman CS, Seymour CW (2016) The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 315:801–10 Singer M, Deutschman CS, Seymour CW (2016) The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 315:801–10
Zurück zum Zitat Sliwa K, Hilfiker-Kleiner D, Petrie MC et al. (2010) Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: A position statement from the Heart Failure Association of the European Society of Cardiology Working Group on peripartum cardiomyopathy. Eur J Heart Fail 12: 767–778 Sliwa K, Hilfiker-Kleiner D, Petrie MC et al. (2010) Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: A position statement from the Heart Failure Association of the European Society of Cardiology Working Group on peripartum cardiomyopathy. Eur J Heart Fail 12: 767–778
Zurück zum Zitat Sultan P, Seligman K, Carvalho B (2016) Amniotic fluid embolism: update and review. Curr Opin Anesthesiol 29:288–296 Sultan P, Seligman K, Carvalho B (2016) Amniotic fluid embolism: update and review. Curr Opin Anesthesiol 29:288–296
Zurück zum Zitat Tamhane P, O’Sullivan G, Reynolds F (2006) Oxytocin in parturients with cardiac disease. Int J Obstet Anesth 15:332–3 Tamhane P, O’Sullivan G, Reynolds F (2006) Oxytocin in parturients with cardiac disease. Int J Obstet Anesth 15:332–3
Zurück zum Zitat Truhlář A, Deakin CD, Soar J et al. (2015) Kapitel 4 der Leitlinien zur Reanimation 2015 des European Resuscitation Council. Notfall Rettungsmed 18:833–903 Truhlář A, Deakin CD, Soar J et al. (2015) Kapitel 4 der Leitlinien zur Reanimation 2015 des European Resuscitation Council. Notfall Rettungsmed 18:833–903
Zurück zum Zitat Tunçalp O, Souza JP, Gülmezoglu M, World Health Organization (2013) New WHO recommendations on prevention and treatment of postpartum hemorrhage. Int J Gynaecol Obstet 123:254–6 Tunçalp O, Souza JP, Gülmezoglu M, World Health Organization (2013) New WHO recommendations on prevention and treatment of postpartum hemorrhage. Int J Gynaecol Obstet 123:254–6
Zurück zum Zitat Vasquez DN, Estenssoro E, Canales HS, Reina R, Saenz MG, Das Neves AV, Toro MA, Loudet CI (2007) Clinical characteristics and outcomes of obstetric patients requiring ICU admission. Chest 131:718–24 Vasquez DN, Estenssoro E, Canales HS, Reina R, Saenz MG, Das Neves AV, Toro MA, Loudet CI (2007) Clinical characteristics and outcomes of obstetric patients requiring ICU admission. Chest 131:718–24
Zurück zum Zitat Wilhelm W (2013) Praxis der Intensivmedizin – konkret, kompakt, interdisziplinär, 2. Aufl. Springer, Berlin Heidelberg New York Wilhelm W (2013) Praxis der Intensivmedizin – konkret, kompakt, interdisziplinär, 2. Aufl. Springer, Berlin Heidelberg New York
Zurück zum Zitat WOMAN Trial Collaborators (2017) Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. Lancet 389:2105–2116 WOMAN Trial Collaborators (2017) Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. Lancet 389:2105–2116
Zurück zum Zitat Zwart JJ, Dupuis JR, Richters A, Ory F, van Roosmalen J (2010) Obstetric intensive care unit admission: a 2-year nationwide population-based cohort study. Intensive Care Med 36:256–63 Zwart JJ, Dupuis JR, Richters A, Ory F, van Roosmalen J (2010) Obstetric intensive care unit admission: a 2-year nationwide population-based cohort study. Intensive Care Med 36:256–63
Metadaten
Titel
Intensivtherapie bei Schwangeren
verfasst von
Prof. Dr. D. Bremerich
Dr. S. T. Neuhaus
Copyright-Jahr
2018
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-54375-7_24

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