Whole Range of Respiratory Support in a Pregnant Woman with a Severe Form of COVID-19 Infection: A Case Report
| Autor: | Sanja Berić, Višnja Nesek Adam, Ivan Šklebar, Tino Klancir, Mark Žižak, Marin Mličević |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Acta Clinica Croatica, Vol 62., Iss Supplement 1, Pp 154-159 (2023) |
| Druh dokumentu: | article |
| ISSN: | 0353-9466 1333-9451 |
| DOI: | 10.20471/acc.2023.62.s1.21 |
| Popis: | 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] |
| Databáze: | Directory of Open Access Journals |
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