학술논문
WHOLE RANGE OF RESPIRATORY SUPPORT IN A PREGNANT WOMAN WITH A SEVERE FORM OF COVID-19 INFECTION: A CASE REPORT/CIJELI RASPON RESPIRACIJSKE POTPORE KOD TRUDNICE S TESKIM OBLIKOM INFEKCIJE COVID-19
Document Type
Academic Journal
Source
Acta Clinica Croatica. March 15, 2023, Vol. 62 Issue S1, p154, 6 p.
Subject
Language
English
ISSN
0353-9466
Abstract
Acute respiratory syndrome caused by a novel coronavirus (SARS-CoV-2) in pregnant women can progress to a critical condition. In this paper, we present a case of a woman in the 28th week of gestation hospitalized due to respiratory insufficiency caused by COVID-19 infection and consequent bilateral pneumonia with development of severe acute respiratory distress syndrome. Noninvasive ventilation through a face mask was started but due to progression of respiratory insufficiency with high FiO2 and positive end expiratory pressure (PEEP), we decided to intubate the patient, after which obstetricians agreed to complete pregnancy by cesarean section. The clinical course was complicated by desaturation and bradycardia with recurring asystole which recovered after the use of atropine. The patient was increasingly difficult to mechanically ventilate on the PSIMV modality (tidal volume [TV] Key words: COVID-19; Pregnancy; Cesarean section; Spontaneous pneumothorax; ARDS; ECMO Akutni respiracijski sindrom uzrokovan novim koronavirusom (SARS-CoV-2) u trudnica se moze komplicirati do kriticnog stanja. U ovom radu prikazujemo slucaj trudnice u 28. tjednu trudnoce hospitaliziranu zbog respiracijske insufficijencije uzrokovane infekcijom COVID-19 te posljedicnom obostranom pneumonijom i razvojem teskog ARDS-a. Zapoceta je neinvazivna ventilacija preko maske za lice, no zbog progresije respiracijske insufficijencije uz visoki FiO i PEEP odluceno je provesti endotrahealnu intubaciju, nakon cega ginekolozi donose odluku o dovrsenju trudnoce carskim rezom. Klinicki tijek se komplicira desaturacijom te bradikardijom uz opetovane asistolije koje se oporave nakon primjene atropina. Bolesnicu se sve teze mehanicki ventilira na modalitetu PSIMV (TV Kljucne rijeci: COVID-19; Trudnoca; Carski rez; Spontani pneumotoraks; ARDS; ECMO
Introduction Severe acute respiratory syndrome coronavirus 2 (SARSCoV2) is a novel coronavirus that causes a potentially serious respiratory disease, which has spread all around the world and affected the population [...]
Introduction Severe acute respiratory syndrome coronavirus 2 (SARSCoV2) is a novel coronavirus that causes a potentially serious respiratory disease, which has spread all around the world and affected the population [...]