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Background Acute respiratory distress syndrome(ARDS) caused by H7N9 influenza in pregnant woman is a life-threatening event with an increased risk for maternal and baby’s death. The aim of this study was to evaluate the impact of point-of-care ultrasonography(POCUS) on the management and prognosis of these patients.Methods A case of 31-yr-old pregnant woman in our hospital, who was underwent POCUS for evaluating cardiopulmonary functions, volume state, fluid responsiveness and ultrasound-guided procedures was admitted to Intensive Care Unit(ICU). We performed ultrasonography daily for monitoring organ functions. Review of related literatures was also conducted. Results With the help of POCUS, we made quickly diagnosis of severe pneumonia and ARDS caused by H7N9 influenza. The therapies had also been changed after POCUS examinations, such as restrict fluid administration relying on the assessments of the inferior vena cava(IVC) to estimate preload and lung ultrasound monitoring to identify the early presence of extravascular lung water(EVLW) and avoid fluid over resuscitation, ultrasound-guided recruitment maneuver to improved respiratory distress syndrome, and so on.Conclusions POCUS has a significant impact on decision-making and therapeutic management and should become a clinical routine in the management of ARDS patients caused by H7N9 influenza in pregnancy.
Background Acute respiratory distress syndrome (ARDS) caused by H7N9 influenza in pregnant woman is a life-threatening event with an increased risk for maternal and baby’s death. The aim of this study was to evaluate the impact of point-of-care ultrasonography (POCUS ) on the management and prognosis of these patients. Methods A case of 31-yr-old pregnant woman in our hospital, who was underwent POCUS for evaluating cardiopulmonary functions, volume state, fluid responsiveness and ultrasound-guided procedures was admitted to Intensive Care Unit We performed ultrasonography daily for monitoring organ functions. Review of related literatures was also conducted. Results with the help of POCUS, we made rapid diagnosis of severe pneumonia and ARDS caused by H7N9 influenza. The therapies had also been changed after POCUS examinations, such as restrict fluid administration relying on the assessments of the inferior vena cava (IVC) to estimate preload and lung ultrasound monitoring to ident ify the early presence of extravascular lung water (EVLW) and avoid fluid over resuscitation, ultrasound-guided recruitment maneuver to improved respiratory distress syndrome, and so on. Conclusions POCUS has a significant impact on decision-making and therapeutic management and should become a clinical routine in the management of ARDS patients caused by H7N9 influenza in pregnancy.