Hospital Course |
Case 1 |
Case 2 |
Case 3 |
Case 4 |
Case 5 |
Case
6 |
Respiratory support |
High flow nasal cannula |
Mechanical ventilation |
Mechanical ventilation |
Mechanical ventilation |
Mechanical ventilation |
Mechanical ventilation |
Days intubated |
0 |
14 |
7 |
8 |
3 |
2 |
Maximum ventilatory settings |
N/A |
PEEP 18 cm H2O,
FiO2 100% |
PEEP 12 cm H20,
FiO2 100% |
PEEP 10 cm H20,
FiO2 70% |
PEEP 10 cm H20,
FiO2 50% |
PEEP 8 cm H2O,
FiO2 40% |
Days hospitalized |
9 |
17 |
11 |
13 |
8 |
7 |
Delivery |
No |
No |
No |
Yes, induction was performed at 36 weeks, 3
days gestational age for category 2 FHT. Delivery resulted in a vacuum
assisted vaginal delivery. |
Yes, urgent cesarean section for severe
range blood pressures refractory to interventions in setting of
preeclampsia with severe features. Patient intubated prior to delivery,
then transferred to intensive care unit. |
Yes, urgent cesarean section
for persistent category II FHT following intubation. Patient was
intubated prior to delivery, and 2 prolonged decelerations were noted on
FHT. Patient was found to be shivering with absent variability noted on
FHT. |
Outcome |
Discharged on room air. |
Patient left against medical advice
on hospital day 17 and was on 3 L nasal cannula at that time. |
Discharged on room air. |
Patient diagnosed with preeclampsia without
severe features. Patient discharged postpartum day 3 on room air. |
Discharged postpartum day 8 on room air. Patient discharged with
labetalol 800 mg TID and nifedipine XL 60 mg. |
Discharged on
postoperative day 4 on room air |