Successful use of CPAP in a pregnant patient with COVID-19 pneumonia.

Szczegóły
Abstrakt

Tytuł:: Successful use of CPAP in a pregnant patient with COVID-19 pneumonia.
Autorzy:: Reindorf M; General Medicine, East and North Hertfordshire NHS Trust, Stevenage, UK .
Newman J; Respiratory Medicine, East and North Hertfordshire NHS Trust, Stevenage, UK.
Ingle T; Respiratory Medicine, East and North Hertfordshire NHS Trust, Stevenage, UK.
Źródło:: BMJ case reports [BMJ Case Rep] 2021 Mar 08; Vol. 14 (3). Date of Electronic Publication: 2021 Mar 08.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BMJ Pub. Group
MeSH Terms:: Continuous Positive Airway Pressure*
COVID-19/*therapy
Pregnancy Complications, Infectious/*therapy
Respiratory Insufficiency/*therapy
Respiratory Insufficiency/*virology
Adult ; COVID-19/complications ; COVID-19/diagnostic imaging ; Female ; Humans ; Pregnancy ; Pregnancy Complications, Infectious/diagnostic imaging ; Radiography ; Respiratory Insufficiency/diagnostic imaging ; SARS-CoV-2 ; Treatment Outcome
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Contributed Indexing:: Keywords: CPAP; infectious diseases; obstetrics and gynaecology; pregnancy; respiratory medicine
Entry Date(s):: Date Created: 20210309 Date Completed: 20210317 Latest Revision: 20210325
Update Code:: 20240105
PubMed Central ID:: PMC7942271
DOI:: 10.1136/bcr-2020-238055
PMID:: 33685910
: Czasopismo naukowe

A 35-year-old nurse, who was 27 weeks pregnant at the time, was admitted to hospital with a short history of cough, fever and worsening shortness of breath. Oral and nasopharyngeal swabs were positive for SARS-CoV-2 on real-time viral PCR. During her admission, her breathing further deteriorated and she developed type 1 respiratory failure. A decision was made to trial treatment with continuous positive airway pressure (CPAP) as a means of avoiding intubation. The patient tolerated this well and made rapid improvements on this therapy. She was quickly weaned off and fully recovered before being discharged home. This case highlights the potential for CPAP to be used as a means of avoiding mechanical ventilation and iatrogenic preterm birth in COVID-19 pneumonia in pregnancy. Furthermore, it highlights the need for robust evidence to support this treatment.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)

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