SCCM Resource Library-COVID-19 and Critical Care Considerations in Pregnancy

Video Transcription

Video Summary

Maternal Fetal Medicine Specialist and Surgical Critical Care Doctor, Dr. Arthur Jason Vaught, discusses critical care considerations for pregnant women with COVID-19. He explains the normal physiology of pregnancy, including hyperdynamic cardiovascular and respiratory alkalosis states. He highlights the increased risk for pregnant women with COVID-19, including ICU admission and need for invasive ventilation. He emphasizes the importance of a collaborative team involving obstetricians, intensivists, and anesthesia providers. Dr. Vaught addresses key questions related to pregnancy and COVID-19, including the timing of intubation, the use of standard ventilatory strategies, assessing volume status, and the use of salvage therapies like inhaled pulmonary vasodilators and ECMO. He also discusses fetal monitoring and the timing of delivery, based on gestational age and maternal condition. Dr. Vaught emphasizes the need for individualized care and close collaboration between medical teams to ensure the best outcomes for pregnant women with COVID-19.

Asset Subtitle

Infection, Obstetrics, 2022

Asset Caption

Treatment of COVID-19 respiratory failure presents unique challenges that are further deepened by the physiologic changes of pregnancy. This session will discuss management of the pregnant patient with COVID-19.

Meta Tag

Content Type Presentation

Knowledge Area Infection

Knowledge Area Obstetrics

Knowledge Level Advanced

Membership Level Select

Tag Maternal Fetal Medicine

Tag COVID-19

Year 2022

Keywords

COVID-19

pregnant women

critical care considerations

physiology of pregnancy

ICU admission

fetal monitoring

individualized care

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