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Successful use of CPAP in a pregnant patient with COVID-19 pneumonia.
Reindorf, Maxine; Newman, Joseph; Ingle, Tejas.
  • Reindorf M; General Medicine, East and North Hertfordshire NHS Trust, Stevenage, UK maxine.reindorf@nhs.net.
  • Newman J; Respiratory Medicine, East and North Hertfordshire NHS Trust, Stevenage, UK.
  • Ingle T; Respiratory Medicine, East and North Hertfordshire NHS Trust, Stevenage, UK.
BMJ Case Rep ; 14(3)2021 Mar 08.
Artículo en Inglés | MEDLINE | ID: covidwho-1123593
ABSTRACT
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.
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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Complicaciones Infecciosas del Embarazo / Insuficiencia Respiratoria / Presión de las Vías Aéreas Positiva Contínua / COVID-19 Tipo de estudio: Reporte de caso / Estudio pronóstico / Ensayo controlado aleatorizado Tópicos: Covid persistente Límite: Adulto / Femenino / Humanos / Embarazo Idioma: Inglés Año: 2021 Tipo del documento: Artículo País de afiliación: Bcr-2020-238055

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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Complicaciones Infecciosas del Embarazo / Insuficiencia Respiratoria / Presión de las Vías Aéreas Positiva Contínua / COVID-19 Tipo de estudio: Reporte de caso / Estudio pronóstico / Ensayo controlado aleatorizado Tópicos: Covid persistente Límite: Adulto / Femenino / Humanos / Embarazo Idioma: Inglés Año: 2021 Tipo del documento: Artículo País de afiliación: Bcr-2020-238055