Ultrasound examination of the lungs in the intensive care unit in obstetric practice

Abstract

Introduction. There are needs for early diagnosis of extragenital pathology diseases of the bronchopulmonary system of pregnant women. The inability to use X-ray methods due to its negative effect on the fetus forces researchers to develop alternative and informative diagnostic methods, such as ultrasound. The aim. Diagnosis of bronchopulmonary pathology in the intensive care unit in patients with obstetric and gynaecological diseases and to implement aspects of the BLUE protocol in an intensive care unit for pregnant women with lung diseases. Materials and methods. The study involved a pregnant woman admitted to the intensive care unit at the city centre for reproductive medicine. To study the bronchopulmonary system, an Aloka 3500 ultrasound scanner was used, a chest X-ray was performed, spirometry study of the function of external respiration. Results: Identified radiological changes in the lungs that were confirmed by ultrasound. Data on changes in external respiration indices showed the presence of respiratory failure by restrictive type and was not accompanied by a change in the gas composition of the blood (SpO2 and EtCO2). Conclusions: a technique for ultrasound examination of the bronchi-pulmonary system in pregnant women was developed and introduced in the intensive care unit. Ultrasound profiles of lung diseases were identified, which allow determining the intra and extrapulmonary changes in pregnant women in the early stages of pathology.