Severe COVID-19 infection in pregnancy requiring intubation without preterm delivery: A case report
| العنوان: | Severe COVID-19 infection in pregnancy requiring intubation without preterm delivery: A case report |
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| المؤلفون: | Monica Lee-Griffith, Robyn Garcia, Nicolina Smith, Leah Hong, Madhurima Keerthy, Gregory Goyert, Majid Shaman |
| المصدر: | Case Reports in Women's Health Case Reports in Women's Health, Vol 27, Iss, Pp e00217-(2020) Case Reports in Womens Health |
| بيانات النشر: | The Authors. Published by Elsevier B.V., 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Corona virus, medicine.medical_treatment, lcsh:Surgery, lcsh:Gynecology and obstetrics, Article, law.invention, 03 medical and health sciences, 0302 clinical medicine, Prednisone, law, Pregnancy, Intensive care, Obstetrics and Gynaecology, medicine, Intubation, 030212 general & internal medicine, Intensive care medicine, Maternal fetal medicine, lcsh:RG1-991, Mechanical ventilation, 030219 obstetrics & reproductive medicine, business.industry, Obstetrics and Gynecology, COVID-19, Hydroxychloroquine, lcsh:RD1-811, medicine.disease, Intensive care unit, Pneumonia, Acute respiratory distress, business, medicine.drug |
| الوصف: | Background Coronavirus-2019 (COVID-19) is a global health crisis, but there is limited guidance for the critical care management of pregnant patients experiencing respiratory collapse. We describe our management of a peri-viable pregnant patient requiring intubation; discussion includes pharmacologic interventions, mechanical ventilation adjustments, and consideration of fetal interventions, including delivery timing. Case A 36-year-old, gravida 2, para 1 woman positive for COVID-19 at 23 weeks of gestation with severe disease required admission to the intensive care unit and intubation. She completed 5 days of hydroxychloroquine and 7 days of prednisone. She was successfully intubated after 8 days and discharged home in a stable condition without preterm delivery on hospital day 11. Conclusion Fortunately, the patient responded to aggressive respiratory support with intubation and mechanical ventilation early upon presentation. It is unclear whether our institution's empiric use of hydroxychloroquine and prednisone facilitated her recovery. We hope that our report helps other institutions navigate the complex care surrounding pregnant patients with severe COVID-19 pneumonia requiring intensive care. Highlights • COVID-19 can cause viral pneumonia with rapid deterioration into acute respiratory distress syndrome requiring intubation. • Respiratory collapse in the pregnant state present multiple challenges including consideration for fetal interventions and timing of delivery. • Early respiratory support with intubation and mechanical ventilation may assist with recovery. • In severe disease consideration for delivery must consider perinatal benefit versus the effect of delivery on maternal respiratory disease. |
| اللغة: | English |
| تدمد: | 2214-9112 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c61be22e32a841a1c89fadd03808a311 http://europepmc.org/articles/PMC7204648 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....c61be22e32a841a1c89fadd03808a311 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22149112 |
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