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Case Report

Open Access

Prone Ventilation in a 27 Week Pregnant Woman with COVID-19 Severe ARDS

  • Luigi Barile1
  • Martina Cerrano1
  • Alessandro Locatelli1
  • Andrea Puppo1
  • Anna F. Signorile2
  • Nicoletta Barzaghi1

1Department of Anesthesia and Intensive Care, Azienda Ospedaliera Santa Croce e Carle, Via Michele Coppino 26, 12100, Cuneo, Italy

2Department of Obstetrics and Gynecology, Azienda Ospedaliera Santa Croce e Carle, Via Michele Coppino 26, 12100, Cuneo, Italy

DOI: 10.22514/sv.2020.16.0028 Vol.16,Issue 1,June 2020 pp.199-202

Published: 30 June 2020

*Corresponding Author(s): Luigi Barile E-mail: luigi.barile85@hotmail.it

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Abstract

Pregnant women are more sensitive to respiratory pathogens due to the physiological changes related to pregnancy with an increase in morbidity and mortality. Pregnancy and childbirth do not seem to aggravate the course of symptoms of COVID-19 pneumonia. However, reports on optimal management of severe COVID-19-related ARDS during pregnancy are still lacking. To our knowledge only two case reports describe prone ventilation in pregnant women with severe ARDS, no one related to COVID-19. We report the case of a COVID-19 related severe ARDS in a 48-year-old woman in the last trimester of pregnancy. The patient required intensive care hospitalization for 20 days and invasive mechanical ventilation for 15 days. Pronation maneuver during mechanical ventilation relieved hypoxia and prevented mother and fetus damages, thus avoiding an urgent cesarean section and a premature birth. The patient was successfully discharged from the hospital without maternal and fetal sequelae. In our experience prone ventilation can be safely used to improve respiratory gas exchanges in the last trimester of pregnancy in case of severe ARDS.

Key words

COVID-19, Respiratory distress syndrome, Adult, Pronation, Pregnancy, Respiration, Artificial

Cite And Share

Luigi Barile,Martina Cerrano,Alessandro Locatelli,Andrea Puppo,Anna F. Signorile,Nicoletta Barzaghi. Prone Ventilation in a 27 Week Pregnant Woman with COVID-19 Severe ARDS. Signa Vitae. 2020. 16(1);199-202.

References

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[8] Oliveira C, Lopes MAB, Rodrigues AS, et al. Influence of the prone position on a stretcher for pregnant women on maternal and fetal hemodynamic parameters and comfort in pregnancy. Clinics (Sao Paulo). 2017;72:325-332.

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