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British Journal of Anaesthesia, 1992, Vol. 69, No. 4 420-421
© 1992 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

LIFE-THREATENING ACUTE RESPIRATORY DISTRESS IN LATE PREGNANCY

I. M. METTAM, F.R.C.ANAES.,*,, T. R. REDDY, F.R.C.ANAES. and F.E. EVANS, F.R.C.ANAES.

Nuffield Department of Anaesthetics, John Radcliffe Hospital Oxford
Department of Anaesthesia, Milton Keynes General Hospital Milton Keynes

Acute severe ventilatory failure from any cause is always a critical emergency. In advanced pregnancy, such an episode is particularly hazardous. The management of a pregnant patient who presented with an acute episode of respiratory distress is described. Although this was thought initially to be an asthmatic attack, there was evidence of upper airway obstruction caused by an enlarged thyroid. The major complicating factors and aetiology are discussed.

*Prcsent address, for correspondence: Department of Anaesthesia, Royal Melbourne Hospital, Melbourne, Victoria 3050, Australia.


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