Postpartum extracorporeal membrane oxygenation of a woman with COVID-19-related acute respiratory distress syndrome: A case report.
Medicine (Baltimore)
; 100(30): e26798, 2021 Jul 30.
مقالة
ي الانجليزية
| MEDLINE | ID: covidwho-2191047
ABSTRACT
INTRODUCTION:
Patients with coronavirus disease (COVID-19) may develop acute respiratory distress syndrome (ARDS). There have been few reports of postpartum woman with ARDS secondary to COVID-19 who required respiratory support using veno-venous extracorporeal membrane oxygenation (ECMO). We present the case of a 31-year-old woman who was admitted to hospital at 35âweeks gestation with ARDS secondary to COVID-19 and required ECMO during the postpartum period. PATIENT CONCERNS The patient had obvious dyspnea, accompanied by chills and fever. Her dyspnea worsened and her arterial oxygen saturation decreased rapidly. DIAGNOSIS ARDS secondary to COVID-19.INTERVENTIONS:
Emergency bedside cesarean section. Medications included immunotherapy (thymosin α 1), antivirals (lopinavir/ritonavir and ribavirin), antibiotics (imipenem-cilastatin sodium and vancomycin), and methylprednisolone. Ventilatory support was provided using invasive mechanical ventilation. This was replaced by venous-venous ECMO 5âdays postpartum. ECMO management focused on blood volume control, coagulation function adjustment, and airway management.OUTCOMES:
The patient was successfully weaned for ECMO and the ventilator and made a good recovery.CONCLUSION:
Special care, including blood volume control, coagulation function adjustment, and airway management, should be provided to postpartum patients with ARDS secondary to COVID-19 who require ECMO support.
النص الكامل:
متاح
مجموعة:
قواعد البيانات الدولية
قاعدة البيانات:
MEDLINE
الموضوع الرئيسي:
Pregnancy Complications, Infectious
/
Extracorporeal Membrane Oxygenation
/
Postpartum Period
/
COVID-19
نوع الدراسة:
تقرير الحالة
/
دراسة مبنية على المشاهدة
المواضيع:
لونغ كوفيد
المحددات:
راشد/بالغ
/
أنثى
/
البشر
/
الحمل
اللغة:
الانجليزية
مجلة:
Medicine (Baltimore)
السنة:
2021
نوع:
مقالة
المراجع ذات الصلة
MEDLINE
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