Peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (IT-NEUMA-Pregn study)
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 venti...
Ausführliche Beschreibung
Autor*in: |
Racca, Fabrizio [verfasserIn] |
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E-Artikel |
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Englisch |
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2023 |
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Anmerkung: |
© The Author(s) 2023 |
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Übergeordnetes Werk: |
Enthalten in: BMC anesthesiology - [S.l.] : BioMed Central, 2001, 23(2023), 1 vom: 13. Okt. |
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Übergeordnetes Werk: |
volume:23 ; year:2023 ; number:1 ; day:13 ; month:10 |
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DOI / URN: |
10.1186/s12871-023-02307-6 |
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SPR053400925 |
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520 | |a 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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650 | 4 | |a Mechanical cough device |7 (dpeaa)DE-He213 | |
700 | 1 | |a Longhitano, Yaroslava |4 aut | |
700 | 1 | |a Zanza, Christian |4 aut | |
700 | 1 | |a Balzanelli, Mario Giosuè |4 aut | |
700 | 1 | |a Draisci, Gaetano |4 aut | |
700 | 1 | |a Stoia, Paolo Augusto |4 aut | |
700 | 1 | |a Gollo, Evelina |4 aut | |
700 | 1 | |a Maio, Mariella |4 aut | |
700 | 1 | |a Grattarola, Claudia |4 aut | |
700 | 1 | |a Astuto, Marinella |4 aut | |
700 | 1 | |a Ciccarelli, Antonello |4 aut | |
700 | 1 | |a Racca, Giulia |4 aut | |
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700 | 1 | |a Giordano, Benedetta |4 aut | |
700 | 1 | |a Serraino, Alessandra |4 aut | |
700 | 1 | |a Sansone, Valeria Ada Maria |4 aut | |
700 | 1 | |a Gregoretti, Cesare |4 aut | |
700 | 1 | |a Conti, Giorgio |4 aut | |
700 | 1 | |a Piccolella, Fabio |4 aut | |
700 | 1 | |a Vaschetto, Rosanna |4 aut | |
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10.1186/s12871-023-02307-6 doi (DE-627)SPR053400925 (SPR)s12871-023-02307-6-e DE-627 ger DE-627 rakwb eng Racca, Fabrizio 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 © The Author(s) 2023 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 (dpeaa)DE-He213 Neuromuscular diseases (dpeaa)DE-He213 Postoperative respiratory complications (dpeaa)DE-He213 Non-invasive ventilation (dpeaa)DE-He213 Mechanical cough device (dpeaa)DE-He213 Longhitano, Yaroslava aut Zanza, Christian aut Balzanelli, Mario Giosuè aut Draisci, Gaetano aut Stoia, Paolo Augusto aut Gollo, Evelina aut Maio, Mariella aut Grattarola, Claudia aut Astuto, Marinella aut Ciccarelli, Antonello aut Racca, Giulia aut Romenskaya, Tatsiana aut Giordano, Benedetta aut Serraino, Alessandra aut Sansone, Valeria Ada Maria aut Gregoretti, Cesare aut Conti, Giorgio aut Piccolella, Fabio aut Vaschetto, Rosanna aut Enthalten in BMC anesthesiology [S.l.] : BioMed Central, 2001 23(2023), 1 vom: 13. Okt. (DE-627)355422115 (DE-600)2091252-3 1471-2253 nnns volume:23 year:2023 number:1 day:13 month:10 https://dx.doi.org/10.1186/s12871-023-02307-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER 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 13 10 |
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10.1186/s12871-023-02307-6 doi (DE-627)SPR053400925 (SPR)s12871-023-02307-6-e DE-627 ger DE-627 rakwb eng Racca, Fabrizio 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 © The Author(s) 2023 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 (dpeaa)DE-He213 Neuromuscular diseases (dpeaa)DE-He213 Postoperative respiratory complications (dpeaa)DE-He213 Non-invasive ventilation (dpeaa)DE-He213 Mechanical cough device (dpeaa)DE-He213 Longhitano, Yaroslava aut Zanza, Christian aut Balzanelli, Mario Giosuè aut Draisci, Gaetano aut Stoia, Paolo Augusto aut Gollo, Evelina aut Maio, Mariella aut Grattarola, Claudia aut Astuto, Marinella aut Ciccarelli, Antonello aut Racca, Giulia aut Romenskaya, Tatsiana aut Giordano, Benedetta aut Serraino, Alessandra aut Sansone, Valeria Ada Maria aut Gregoretti, Cesare aut Conti, Giorgio aut Piccolella, Fabio aut Vaschetto, Rosanna aut Enthalten in BMC anesthesiology [S.l.] : BioMed Central, 2001 23(2023), 1 vom: 13. Okt. (DE-627)355422115 (DE-600)2091252-3 1471-2253 nnns volume:23 year:2023 number:1 day:13 month:10 https://dx.doi.org/10.1186/s12871-023-02307-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER 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 13 10 |
allfields_unstemmed |
10.1186/s12871-023-02307-6 doi (DE-627)SPR053400925 (SPR)s12871-023-02307-6-e DE-627 ger DE-627 rakwb eng Racca, Fabrizio 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 © The Author(s) 2023 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 (dpeaa)DE-He213 Neuromuscular diseases (dpeaa)DE-He213 Postoperative respiratory complications (dpeaa)DE-He213 Non-invasive ventilation (dpeaa)DE-He213 Mechanical cough device (dpeaa)DE-He213 Longhitano, Yaroslava aut Zanza, Christian aut Balzanelli, Mario Giosuè aut Draisci, Gaetano aut Stoia, Paolo Augusto aut Gollo, Evelina aut Maio, Mariella aut Grattarola, Claudia aut Astuto, Marinella aut Ciccarelli, Antonello aut Racca, Giulia aut Romenskaya, Tatsiana aut Giordano, Benedetta aut Serraino, Alessandra aut Sansone, Valeria Ada Maria aut Gregoretti, Cesare aut Conti, Giorgio aut Piccolella, Fabio aut Vaschetto, Rosanna aut Enthalten in BMC anesthesiology [S.l.] : BioMed Central, 2001 23(2023), 1 vom: 13. Okt. (DE-627)355422115 (DE-600)2091252-3 1471-2253 nnns volume:23 year:2023 number:1 day:13 month:10 https://dx.doi.org/10.1186/s12871-023-02307-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER 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 13 10 |
allfieldsGer |
10.1186/s12871-023-02307-6 doi (DE-627)SPR053400925 (SPR)s12871-023-02307-6-e DE-627 ger DE-627 rakwb eng Racca, Fabrizio 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 © The Author(s) 2023 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 (dpeaa)DE-He213 Neuromuscular diseases (dpeaa)DE-He213 Postoperative respiratory complications (dpeaa)DE-He213 Non-invasive ventilation (dpeaa)DE-He213 Mechanical cough device (dpeaa)DE-He213 Longhitano, Yaroslava aut Zanza, Christian aut Balzanelli, Mario Giosuè aut Draisci, Gaetano aut Stoia, Paolo Augusto aut Gollo, Evelina aut Maio, Mariella aut Grattarola, Claudia aut Astuto, Marinella aut Ciccarelli, Antonello aut Racca, Giulia aut Romenskaya, Tatsiana aut Giordano, Benedetta aut Serraino, Alessandra aut Sansone, Valeria Ada Maria aut Gregoretti, Cesare aut Conti, Giorgio aut Piccolella, Fabio aut Vaschetto, Rosanna aut Enthalten in BMC anesthesiology [S.l.] : BioMed Central, 2001 23(2023), 1 vom: 13. Okt. (DE-627)355422115 (DE-600)2091252-3 1471-2253 nnns volume:23 year:2023 number:1 day:13 month:10 https://dx.doi.org/10.1186/s12871-023-02307-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER 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 13 10 |
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10.1186/s12871-023-02307-6 doi (DE-627)SPR053400925 (SPR)s12871-023-02307-6-e DE-627 ger DE-627 rakwb eng Racca, Fabrizio 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 © The Author(s) 2023 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 (dpeaa)DE-He213 Neuromuscular diseases (dpeaa)DE-He213 Postoperative respiratory complications (dpeaa)DE-He213 Non-invasive ventilation (dpeaa)DE-He213 Mechanical cough device (dpeaa)DE-He213 Longhitano, Yaroslava aut Zanza, Christian aut Balzanelli, Mario Giosuè aut Draisci, Gaetano aut Stoia, Paolo Augusto aut Gollo, Evelina aut Maio, Mariella aut Grattarola, Claudia aut Astuto, Marinella aut Ciccarelli, Antonello aut Racca, Giulia aut Romenskaya, Tatsiana aut Giordano, Benedetta aut Serraino, Alessandra aut Sansone, Valeria Ada Maria aut Gregoretti, Cesare aut Conti, Giorgio aut Piccolella, Fabio aut Vaschetto, Rosanna aut Enthalten in BMC anesthesiology [S.l.] : BioMed Central, 2001 23(2023), 1 vom: 13. Okt. (DE-627)355422115 (DE-600)2091252-3 1471-2253 nnns volume:23 year:2023 number:1 day:13 month:10 https://dx.doi.org/10.1186/s12871-023-02307-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER 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 13 10 |
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Racca, Fabrizio |
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peri-partum respiratory management of pregnant women with neuro-muscular disorders: a prospective observational study (it-neuma-pregn study) |
title_auth |
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-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. © The Author(s) 2023 |
abstractGer |
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. © The Author(s) 2023 |
abstract_unstemmed |
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. © The Author(s) 2023 |
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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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Longhitano, Yaroslava Zanza, Christian Balzanelli, Mario Giosuè Draisci, Gaetano Stoia, Paolo Augusto Gollo, Evelina Maio, Mariella Grattarola, Claudia Astuto, Marinella Ciccarelli, Antonello Racca, Giulia Romenskaya, Tatsiana Giordano, Benedetta Serraino, Alessandra Sansone, Valeria Ada Maria Gregoretti, Cesare Conti, Giorgio Piccolella, Fabio Vaschetto, Rosanna |
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Longhitano, Yaroslava Zanza, Christian Balzanelli, Mario Giosuè Draisci, Gaetano Stoia, Paolo Augusto Gollo, Evelina Maio, Mariella Grattarola, Claudia Astuto, Marinella Ciccarelli, Antonello Racca, Giulia Romenskaya, Tatsiana Giordano, Benedetta Serraino, Alessandra Sansone, Valeria Ada Maria Gregoretti, Cesare Conti, Giorgio Piccolella, Fabio Vaschetto, Rosanna |
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