Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study)

Abstract Background Pregnant women with neuromuscular diseases (NMDs) often display respiratory muscle impairment which increases the risk for pulmonary complications (PCs). The aim of this study was to identify pregnant NMDs patients with pulmonary risk factors and to apply in these women non-invas...
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Autor*in:	Fabrizio Racca [verfasserIn] Yaroslava Longhitano [verfasserIn] Christian Zanza [verfasserIn] Mario Giosuè Balzanelli [verfasserIn] Gaetano Draisci [verfasserIn] Paolo Augusto Stoia [verfasserIn] Evelina Gollo [verfasserIn] Mariella Maio [verfasserIn] Claudia Grattarola [verfasserIn] Marinella Astuto [verfasserIn] Antonello Ciccarelli [verfasserIn] Giulia Racca [verfasserIn] Tatsiana Romenskaya [verfasserIn] Benedetta Giordano [verfasserIn] Alessandra Serraino [verfasserIn] Valeria Ada Maria Sansone [verfasserIn] Cesare Gregoretti [verfasserIn] Giorgio Conti [verfasserIn] Fabio Piccolella [verfasserIn] Rosanna Vaschetto [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Pregnancy Neuromuscular diseases Postoperative respiratory complications Non-invasive ventilation Mechanical cough device

Übergeordnetes Werk:	In: BMC Anesthesiology - BMC, 2003, 23(2023), 1, Seite 9
Übergeordnetes Werk:	volume:23 ; year:2023 ; number:1 ; pages:9

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s12871-023-02307-6

Katalog-ID:	DOAJ091918375

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520			\|a Abstract Background Pregnant women with neuromuscular diseases (NMDs) often display respiratory muscle impairment which increases the risk for pulmonary complications (PCs). The aim of this study was to identify pregnant NMDs patients with pulmonary risk factors and to apply in these women non-invasive ventilation (NIV) combined with mechanical insufflation-exsufflation (MI-E) in the peri-partum period. Methods We conducted a multicenter observational study on women with NMDs undergoing cesarean section or spontaneous labor in a network of 7 national hospitals. In these subjects we applied a protocol for screening and preventing PCs, and we evaluated PCs rate, maternal and neonatal outcome. Results Twenty-four patients out of the 94 enrolled pregnant women were at risk for PCs and were trained or retrained to use NIV and/or MI-E before delivery. After delivery, 17 patients required NIV with or without MI-E. Despite nine out of the 24 women at pulmonary risk developed postpartum PCs, none of them needed reintubation nor tracheostomy. In addition, the average birth weight and Apgar score were normal. Only one patient without pulmonary risk factors developed postpartum PCs. Conclusion This study showed the feasibility of applying a protocol for screening and treating pregnant NMDs women with pulmonary risk. Despite a PCs rate of 37% was observed in these patients, maternal and neonatal outcome were favorable.
650		4	\|a Pregnancy
650		4	\|a Neuromuscular diseases
650		4	\|a Postoperative respiratory complications
650		4	\|a Non-invasive ventilation
650		4	\|a Mechanical cough device
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700	0		\|a Christian Zanza \|e verfasserin \|4 aut
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700	0		\|a Gaetano Draisci \|e verfasserin \|4 aut
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700	0		\|a Evelina Gollo \|e verfasserin \|4 aut
700	0		\|a Mariella Maio \|e verfasserin \|4 aut
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700	0		\|a Benedetta Giordano \|e verfasserin \|4 aut
700	0		\|a Alessandra Serraino \|e verfasserin \|4 aut
700	0		\|a Valeria Ada Maria Sansone \|e verfasserin \|4 aut
700	0		\|a Cesare Gregoretti \|e verfasserin \|4 aut
700	0		\|a Giorgio Conti \|e verfasserin \|4 aut
700	0		\|a Fabio Piccolella \|e verfasserin \|4 aut
700	0		\|a Rosanna Vaschetto \|e verfasserin \|4 aut
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allfields	10.1186/s12871-023-02307-6 doi (DE-627)DOAJ091918375 (DE-599)DOAJea46a3aca4d54cd88212d1c83acb4a43 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Fabrizio Racca verfasserin aut Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study) 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Pregnant women with neuromuscular diseases (NMDs) often display respiratory muscle impairment which increases the risk for pulmonary complications (PCs). The aim of this study was to identify pregnant NMDs patients with pulmonary risk factors and to apply in these women non-invasive ventilation (NIV) combined with mechanical insufflation-exsufflation (MI-E) in the peri-partum period. Methods We conducted a multicenter observational study on women with NMDs undergoing cesarean section or spontaneous labor in a network of 7 national hospitals. In these subjects we applied a protocol for screening and preventing PCs, and we evaluated PCs rate, maternal and neonatal outcome. Results Twenty-four patients out of the 94 enrolled pregnant women were at risk for PCs and were trained or retrained to use NIV and/or MI-E before delivery. After delivery, 17 patients required NIV with or without MI-E. Despite nine out of the 24 women at pulmonary risk developed postpartum PCs, none of them needed reintubation nor tracheostomy. In addition, the average birth weight and Apgar score were normal. Only one patient without pulmonary risk factors developed postpartum PCs. Conclusion This study showed the feasibility of applying a protocol for screening and treating pregnant NMDs women with pulmonary risk. Despite a PCs rate of 37% was observed in these patients, maternal and neonatal outcome were favorable. Pregnancy Neuromuscular diseases Postoperative respiratory complications Non-invasive ventilation Mechanical cough device Anesthesiology Yaroslava Longhitano verfasserin aut Christian Zanza verfasserin aut Mario Giosuè Balzanelli verfasserin aut Gaetano Draisci verfasserin aut Paolo Augusto Stoia verfasserin aut Evelina Gollo verfasserin aut Mariella Maio verfasserin aut Claudia Grattarola verfasserin aut Marinella Astuto verfasserin aut Antonello Ciccarelli verfasserin aut Giulia Racca verfasserin aut Tatsiana Romenskaya verfasserin aut Benedetta Giordano verfasserin aut Alessandra Serraino verfasserin aut Valeria Ada Maria Sansone verfasserin aut Cesare Gregoretti verfasserin aut Giorgio Conti verfasserin aut Fabio Piccolella verfasserin aut Rosanna Vaschetto verfasserin aut In BMC Anesthesiology BMC, 2003 23(2023), 1, Seite 9 (DE-627)355422115 (DE-600)2091252-3 14712253 nnns volume:23 year:2023 number:1 pages:9 https://doi.org/10.1186/s12871-023-02307-6 kostenfrei https://doaj.org/article/ea46a3aca4d54cd88212d1c83acb4a43 kostenfrei https://doi.org/10.1186/s12871-023-02307-6 kostenfrei https://doaj.org/toc/1471-2253 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 9
spelling	10.1186/s12871-023-02307-6 doi (DE-627)DOAJ091918375 (DE-599)DOAJea46a3aca4d54cd88212d1c83acb4a43 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Fabrizio Racca verfasserin aut Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study) 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Pregnant women with neuromuscular diseases (NMDs) often display respiratory muscle impairment which increases the risk for pulmonary complications (PCs). The aim of this study was to identify pregnant NMDs patients with pulmonary risk factors and to apply in these women non-invasive ventilation (NIV) combined with mechanical insufflation-exsufflation (MI-E) in the peri-partum period. Methods We conducted a multicenter observational study on women with NMDs undergoing cesarean section or spontaneous labor in a network of 7 national hospitals. In these subjects we applied a protocol for screening and preventing PCs, and we evaluated PCs rate, maternal and neonatal outcome. Results Twenty-four patients out of the 94 enrolled pregnant women were at risk for PCs and were trained or retrained to use NIV and/or MI-E before delivery. After delivery, 17 patients required NIV with or without MI-E. Despite nine out of the 24 women at pulmonary risk developed postpartum PCs, none of them needed reintubation nor tracheostomy. In addition, the average birth weight and Apgar score were normal. Only one patient without pulmonary risk factors developed postpartum PCs. Conclusion This study showed the feasibility of applying a protocol for screening and treating pregnant NMDs women with pulmonary risk. Despite a PCs rate of 37% was observed in these patients, maternal and neonatal outcome were favorable. Pregnancy Neuromuscular diseases Postoperative respiratory complications Non-invasive ventilation Mechanical cough device Anesthesiology Yaroslava Longhitano verfasserin aut Christian Zanza verfasserin aut Mario Giosuè Balzanelli verfasserin aut Gaetano Draisci verfasserin aut Paolo Augusto Stoia verfasserin aut Evelina Gollo verfasserin aut Mariella Maio verfasserin aut Claudia Grattarola verfasserin aut Marinella Astuto verfasserin aut Antonello Ciccarelli verfasserin aut Giulia Racca verfasserin aut Tatsiana Romenskaya verfasserin aut Benedetta Giordano verfasserin aut Alessandra Serraino verfasserin aut Valeria Ada Maria Sansone verfasserin aut Cesare Gregoretti verfasserin aut Giorgio Conti verfasserin aut Fabio Piccolella verfasserin aut Rosanna Vaschetto verfasserin aut In BMC Anesthesiology BMC, 2003 23(2023), 1, Seite 9 (DE-627)355422115 (DE-600)2091252-3 14712253 nnns volume:23 year:2023 number:1 pages:9 https://doi.org/10.1186/s12871-023-02307-6 kostenfrei https://doaj.org/article/ea46a3aca4d54cd88212d1c83acb4a43 kostenfrei https://doi.org/10.1186/s12871-023-02307-6 kostenfrei https://doaj.org/toc/1471-2253 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 9
allfields_unstemmed	10.1186/s12871-023-02307-6 doi (DE-627)DOAJ091918375 (DE-599)DOAJea46a3aca4d54cd88212d1c83acb4a43 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Fabrizio Racca verfasserin aut Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study) 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Pregnant women with neuromuscular diseases (NMDs) often display respiratory muscle impairment which increases the risk for pulmonary complications (PCs). The aim of this study was to identify pregnant NMDs patients with pulmonary risk factors and to apply in these women non-invasive ventilation (NIV) combined with mechanical insufflation-exsufflation (MI-E) in the peri-partum period. Methods We conducted a multicenter observational study on women with NMDs undergoing cesarean section or spontaneous labor in a network of 7 national hospitals. In these subjects we applied a protocol for screening and preventing PCs, and we evaluated PCs rate, maternal and neonatal outcome. Results Twenty-four patients out of the 94 enrolled pregnant women were at risk for PCs and were trained or retrained to use NIV and/or MI-E before delivery. After delivery, 17 patients required NIV with or without MI-E. Despite nine out of the 24 women at pulmonary risk developed postpartum PCs, none of them needed reintubation nor tracheostomy. In addition, the average birth weight and Apgar score were normal. Only one patient without pulmonary risk factors developed postpartum PCs. Conclusion This study showed the feasibility of applying a protocol for screening and treating pregnant NMDs women with pulmonary risk. Despite a PCs rate of 37% was observed in these patients, maternal and neonatal outcome were favorable. Pregnancy Neuromuscular diseases Postoperative respiratory complications Non-invasive ventilation Mechanical cough device Anesthesiology Yaroslava Longhitano verfasserin aut Christian Zanza verfasserin aut Mario Giosuè Balzanelli verfasserin aut Gaetano Draisci verfasserin aut Paolo Augusto Stoia verfasserin aut Evelina Gollo verfasserin aut Mariella Maio verfasserin aut Claudia Grattarola verfasserin aut Marinella Astuto verfasserin aut Antonello Ciccarelli verfasserin aut Giulia Racca verfasserin aut Tatsiana Romenskaya verfasserin aut Benedetta Giordano verfasserin aut Alessandra Serraino verfasserin aut Valeria Ada Maria Sansone verfasserin aut Cesare Gregoretti verfasserin aut Giorgio Conti verfasserin aut Fabio Piccolella verfasserin aut Rosanna Vaschetto verfasserin aut In BMC Anesthesiology BMC, 2003 23(2023), 1, Seite 9 (DE-627)355422115 (DE-600)2091252-3 14712253 nnns volume:23 year:2023 number:1 pages:9 https://doi.org/10.1186/s12871-023-02307-6 kostenfrei https://doaj.org/article/ea46a3aca4d54cd88212d1c83acb4a43 kostenfrei https://doi.org/10.1186/s12871-023-02307-6 kostenfrei https://doaj.org/toc/1471-2253 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 9
allfieldsGer	10.1186/s12871-023-02307-6 doi (DE-627)DOAJ091918375 (DE-599)DOAJea46a3aca4d54cd88212d1c83acb4a43 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Fabrizio Racca verfasserin aut Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study) 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Pregnant women with neuromuscular diseases (NMDs) often display respiratory muscle impairment which increases the risk for pulmonary complications (PCs). The aim of this study was to identify pregnant NMDs patients with pulmonary risk factors and to apply in these women non-invasive ventilation (NIV) combined with mechanical insufflation-exsufflation (MI-E) in the peri-partum period. Methods We conducted a multicenter observational study on women with NMDs undergoing cesarean section or spontaneous labor in a network of 7 national hospitals. In these subjects we applied a protocol for screening and preventing PCs, and we evaluated PCs rate, maternal and neonatal outcome. Results Twenty-four patients out of the 94 enrolled pregnant women were at risk for PCs and were trained or retrained to use NIV and/or MI-E before delivery. After delivery, 17 patients required NIV with or without MI-E. Despite nine out of the 24 women at pulmonary risk developed postpartum PCs, none of them needed reintubation nor tracheostomy. In addition, the average birth weight and Apgar score were normal. Only one patient without pulmonary risk factors developed postpartum PCs. Conclusion This study showed the feasibility of applying a protocol for screening and treating pregnant NMDs women with pulmonary risk. Despite a PCs rate of 37% was observed in these patients, maternal and neonatal outcome were favorable. Pregnancy Neuromuscular diseases Postoperative respiratory complications Non-invasive ventilation Mechanical cough device Anesthesiology Yaroslava Longhitano verfasserin aut Christian Zanza verfasserin aut Mario Giosuè Balzanelli verfasserin aut Gaetano Draisci verfasserin aut Paolo Augusto Stoia verfasserin aut Evelina Gollo verfasserin aut Mariella Maio verfasserin aut Claudia Grattarola verfasserin aut Marinella Astuto verfasserin aut Antonello Ciccarelli verfasserin aut Giulia Racca verfasserin aut Tatsiana Romenskaya verfasserin aut Benedetta Giordano verfasserin aut Alessandra Serraino verfasserin aut Valeria Ada Maria Sansone verfasserin aut Cesare Gregoretti verfasserin aut Giorgio Conti verfasserin aut Fabio Piccolella verfasserin aut Rosanna Vaschetto verfasserin aut In BMC Anesthesiology BMC, 2003 23(2023), 1, Seite 9 (DE-627)355422115 (DE-600)2091252-3 14712253 nnns volume:23 year:2023 number:1 pages:9 https://doi.org/10.1186/s12871-023-02307-6 kostenfrei https://doaj.org/article/ea46a3aca4d54cd88212d1c83acb4a43 kostenfrei https://doi.org/10.1186/s12871-023-02307-6 kostenfrei https://doaj.org/toc/1471-2253 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 9
allfieldsSound	10.1186/s12871-023-02307-6 doi (DE-627)DOAJ091918375 (DE-599)DOAJea46a3aca4d54cd88212d1c83acb4a43 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Fabrizio Racca verfasserin aut Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study) 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Pregnant women with neuromuscular diseases (NMDs) often display respiratory muscle impairment which increases the risk for pulmonary complications (PCs). The aim of this study was to identify pregnant NMDs patients with pulmonary risk factors and to apply in these women non-invasive ventilation (NIV) combined with mechanical insufflation-exsufflation (MI-E) in the peri-partum period. Methods We conducted a multicenter observational study on women with NMDs undergoing cesarean section or spontaneous labor in a network of 7 national hospitals. In these subjects we applied a protocol for screening and preventing PCs, and we evaluated PCs rate, maternal and neonatal outcome. Results Twenty-four patients out of the 94 enrolled pregnant women were at risk for PCs and were trained or retrained to use NIV and/or MI-E before delivery. After delivery, 17 patients required NIV with or without MI-E. Despite nine out of the 24 women at pulmonary risk developed postpartum PCs, none of them needed reintubation nor tracheostomy. In addition, the average birth weight and Apgar score were normal. Only one patient without pulmonary risk factors developed postpartum PCs. Conclusion This study showed the feasibility of applying a protocol for screening and treating pregnant NMDs women with pulmonary risk. Despite a PCs rate of 37% was observed in these patients, maternal and neonatal outcome were favorable. Pregnancy Neuromuscular diseases Postoperative respiratory complications Non-invasive ventilation Mechanical cough device Anesthesiology Yaroslava Longhitano verfasserin aut Christian Zanza verfasserin aut Mario Giosuè Balzanelli verfasserin aut Gaetano Draisci verfasserin aut Paolo Augusto Stoia verfasserin aut Evelina Gollo verfasserin aut Mariella Maio verfasserin aut Claudia Grattarola verfasserin aut Marinella Astuto verfasserin aut Antonello Ciccarelli verfasserin aut Giulia Racca verfasserin aut Tatsiana Romenskaya verfasserin aut Benedetta Giordano verfasserin aut Alessandra Serraino verfasserin aut Valeria Ada Maria Sansone verfasserin aut Cesare Gregoretti verfasserin aut Giorgio Conti verfasserin aut Fabio Piccolella verfasserin aut Rosanna Vaschetto verfasserin aut In BMC Anesthesiology BMC, 2003 23(2023), 1, Seite 9 (DE-627)355422115 (DE-600)2091252-3 14712253 nnns volume:23 year:2023 number:1 pages:9 https://doi.org/10.1186/s12871-023-02307-6 kostenfrei https://doaj.org/article/ea46a3aca4d54cd88212d1c83acb4a43 kostenfrei https://doi.org/10.1186/s12871-023-02307-6 kostenfrei https://doaj.org/toc/1471-2253 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 9
language	English
source	In BMC Anesthesiology 23(2023), 1, Seite 9 volume:23 year:2023 number:1 pages:9
sourceStr	In BMC Anesthesiology 23(2023), 1, Seite 9 volume:23 year:2023 number:1 pages:9
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Pregnancy Neuromuscular diseases Postoperative respiratory complications Non-invasive ventilation Mechanical cough device Anesthesiology
isfreeaccess_bool	true
container_title	BMC Anesthesiology
authorswithroles_txt_mv	Fabrizio Racca @@aut@@ Yaroslava Longhitano @@aut@@ Christian Zanza @@aut@@ Mario Giosuè Balzanelli @@aut@@ Gaetano Draisci @@aut@@ Paolo Augusto Stoia @@aut@@ Evelina Gollo @@aut@@ Mariella Maio @@aut@@ Claudia Grattarola @@aut@@ Marinella Astuto @@aut@@ Antonello Ciccarelli @@aut@@ Giulia Racca @@aut@@ Tatsiana Romenskaya @@aut@@ Benedetta Giordano @@aut@@ Alessandra Serraino @@aut@@ Valeria Ada Maria Sansone @@aut@@ Cesare Gregoretti @@aut@@ Giorgio Conti @@aut@@ Fabio Piccolella @@aut@@ Rosanna Vaschetto @@aut@@
publishDateDaySort_date	2023-01-01T00:00:00Z
hierarchy_top_id	355422115
id	DOAJ091918375
language_de	englisch
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The aim of this study was to identify pregnant NMDs patients with pulmonary risk factors and to apply in these women non-invasive ventilation (NIV) combined with mechanical insufflation-exsufflation (MI-E) in the peri-partum period. Methods We conducted a multicenter observational study on women with NMDs undergoing cesarean section or spontaneous labor in a network of 7 national hospitals. In these subjects we applied a protocol for screening and preventing PCs, and we evaluated PCs rate, maternal and neonatal outcome. Results Twenty-four patients out of the 94 enrolled pregnant women were at risk for PCs and were trained or retrained to use NIV and/or MI-E before delivery. After delivery, 17 patients required NIV with or without MI-E. Despite nine out of the 24 women at pulmonary risk developed postpartum PCs, none of them needed reintubation nor tracheostomy. In addition, the average birth weight and Apgar score were normal. Only one patient without pulmonary risk factors developed postpartum PCs. Conclusion This study showed the feasibility of applying a protocol for screening and treating pregnant NMDs women with pulmonary risk. 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callnumber-first	R - Medicine
author	Fabrizio Racca
spellingShingle	Fabrizio Racca misc RD78.3-87.3 misc Pregnancy misc Neuromuscular diseases misc Postoperative respiratory complications misc Non-invasive ventilation misc Mechanical cough device misc Anesthesiology Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study)
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topic_title	RD78.3-87.3 Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study) Pregnancy Neuromuscular diseases Postoperative respiratory complications Non-invasive ventilation Mechanical cough device
topic	misc RD78.3-87.3 misc Pregnancy misc Neuromuscular diseases misc Postoperative respiratory complications misc Non-invasive ventilation misc Mechanical cough device misc Anesthesiology
topic_unstemmed	misc RD78.3-87.3 misc Pregnancy misc Neuromuscular diseases misc Postoperative respiratory complications misc Non-invasive ventilation misc Mechanical cough device misc Anesthesiology
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title	Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study)
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title_full	Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study)
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author_browse	Fabrizio Racca Yaroslava Longhitano Christian Zanza Mario Giosuè Balzanelli Gaetano Draisci Paolo Augusto Stoia Evelina Gollo Mariella Maio Claudia Grattarola Marinella Astuto Antonello Ciccarelli Giulia Racca Tatsiana Romenskaya Benedetta Giordano Alessandra Serraino Valeria Ada Maria Sansone Cesare Gregoretti Giorgio Conti Fabio Piccolella Rosanna Vaschetto
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doi_str_mv	10.1186/s12871-023-02307-6
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title_sort	peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (it-neuma-pregn study)
callnumber	RD78.3-87.3
title_auth	Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study)
abstract	Abstract Background Pregnant women with neuromuscular diseases (NMDs) often display respiratory muscle impairment which increases the risk for pulmonary complications (PCs). The aim of this study was to identify pregnant NMDs patients with pulmonary risk factors and to apply in these women non-invasive ventilation (NIV) combined with mechanical insufflation-exsufflation (MI-E) in the peri-partum period. Methods We conducted a multicenter observational study on women with NMDs undergoing cesarean section or spontaneous labor in a network of 7 national hospitals. In these subjects we applied a protocol for screening and preventing PCs, and we evaluated PCs rate, maternal and neonatal outcome. Results Twenty-four patients out of the 94 enrolled pregnant women were at risk for PCs and were trained or retrained to use NIV and/or MI-E before delivery. After delivery, 17 patients required NIV with or without MI-E. Despite nine out of the 24 women at pulmonary risk developed postpartum PCs, none of them needed reintubation nor tracheostomy. In addition, the average birth weight and Apgar score were normal. Only one patient without pulmonary risk factors developed postpartum PCs. Conclusion This study showed the feasibility of applying a protocol for screening and treating pregnant NMDs women with pulmonary risk. Despite a PCs rate of 37% was observed in these patients, maternal and neonatal outcome were favorable.
abstractGer	Abstract Background Pregnant women with neuromuscular diseases (NMDs) often display respiratory muscle impairment which increases the risk for pulmonary complications (PCs). The aim of this study was to identify pregnant NMDs patients with pulmonary risk factors and to apply in these women non-invasive ventilation (NIV) combined with mechanical insufflation-exsufflation (MI-E) in the peri-partum period. Methods We conducted a multicenter observational study on women with NMDs undergoing cesarean section or spontaneous labor in a network of 7 national hospitals. In these subjects we applied a protocol for screening and preventing PCs, and we evaluated PCs rate, maternal and neonatal outcome. Results Twenty-four patients out of the 94 enrolled pregnant women were at risk for PCs and were trained or retrained to use NIV and/or MI-E before delivery. After delivery, 17 patients required NIV with or without MI-E. Despite nine out of the 24 women at pulmonary risk developed postpartum PCs, none of them needed reintubation nor tracheostomy. In addition, the average birth weight and Apgar score were normal. Only one patient without pulmonary risk factors developed postpartum PCs. Conclusion This study showed the feasibility of applying a protocol for screening and treating pregnant NMDs women with pulmonary risk. Despite a PCs rate of 37% was observed in these patients, maternal and neonatal outcome were favorable.
abstract_unstemmed	Abstract Background Pregnant women with neuromuscular diseases (NMDs) often display respiratory muscle impairment which increases the risk for pulmonary complications (PCs). The aim of this study was to identify pregnant NMDs patients with pulmonary risk factors and to apply in these women non-invasive ventilation (NIV) combined with mechanical insufflation-exsufflation (MI-E) in the peri-partum period. Methods We conducted a multicenter observational study on women with NMDs undergoing cesarean section or spontaneous labor in a network of 7 national hospitals. In these subjects we applied a protocol for screening and preventing PCs, and we evaluated PCs rate, maternal and neonatal outcome. Results Twenty-four patients out of the 94 enrolled pregnant women were at risk for PCs and were trained or retrained to use NIV and/or MI-E before delivery. After delivery, 17 patients required NIV with or without MI-E. Despite nine out of the 24 women at pulmonary risk developed postpartum PCs, none of them needed reintubation nor tracheostomy. In addition, the average birth weight and Apgar score were normal. Only one patient without pulmonary risk factors developed postpartum PCs. Conclusion This study showed the feasibility of applying a protocol for screening and treating pregnant NMDs women with pulmonary risk. Despite a PCs rate of 37% was observed in these patients, maternal and neonatal outcome were favorable.
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title_short	Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study)
url	https://doi.org/10.1186/s12871-023-02307-6 https://doaj.org/article/ea46a3aca4d54cd88212d1c83acb4a43 https://doaj.org/toc/1471-2253
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author2	Yaroslava Longhitano Christian Zanza Mario Giosuè Balzanelli Gaetano Draisci Paolo Augusto Stoia Evelina Gollo Mariella Maio Claudia Grattarola Marinella Astuto Antonello Ciccarelli Giulia Racca Tatsiana Romenskaya Benedetta Giordano Alessandra Serraino Valeria Ada Maria Sansone Cesare Gregoretti Giorgio Conti Fabio Piccolella Rosanna Vaschetto
author2Str	Yaroslava Longhitano Christian Zanza Mario Giosuè Balzanelli Gaetano Draisci Paolo Augusto Stoia Evelina Gollo Mariella Maio Claudia Grattarola Marinella Astuto Antonello Ciccarelli Giulia Racca Tatsiana Romenskaya Benedetta Giordano Alessandra Serraino Valeria Ada Maria Sansone Cesare Gregoretti Giorgio Conti Fabio Piccolella Rosanna Vaschetto
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Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study)

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