Schwangere gehören nicht zu den typischen Patientinnen der Intensivstationen. Mit
durchschnittlich zwischen 2–4 Aufnahmen pro 1000 Geburten [1] ist die Inzidenz in Europa und den USA hierfür auch entsprechend gering. Nicht nur
aufgrund der Seltenheit oder der Besonderheiten einer Schwangerschaft sollte die Behandlung
von schwangeren Patientinnen auf der Intensivstation immer eine interdisziplinäre
und multiprofessionelle Aufgabe sein.
Abstract
Although admission to an intensive care unit during pregnancy is rare, pregnant women
may become critically ill due to either obstetric or non-obstetric illness. Whilst
critical illness due to obstetric reasons during the peripartum period (e.g. peripartum
haemorrhage, HELLP-syndrome) is more common, it is also important to know how to care
for critically ill pregnant women with non-obstetric illness (e.g. infection, cardiovascular
diseases, neurological diseases, trauma). Physiological changes during pregnancy may
affect critical care treatment, variation in standard and target values for blood
pressure management or artificial ventilation. Pregnancy specific reference values
in interpretation of blood chemistry are important issues to consider. The use of
different drugs is inevitable in critical care, knowing which drugs are safe to use
during the different stages of pregnancy is essential. Caring for mother and unborn
child in the ICU is a challenge, open communication,
ethical considerations and interdisciplinary as well as multiprofessional collaborations
should be key points when caring for critically ill pregnant patients.
Schlüsselwörter
Schwangerschaft - Intensivstation - geburtshilfliche Intensivmdeizin
Keywords
pregnancy - intensive care unit - maternal critical care
