Article ; Online: Severe acute respiratory distress syndrome in coronavirus disease 2019-infected pregnancy: obstetric and intensive care considerations.
American journal of obstetrics & gynecology MFM
2020 Volume 2, Issue 3, Page(s) 100120
Abstract: ... a case of rapid clinical decompensation and development of severe acute respiratory distress syndrome ... Since the emergence of a novel coronavirus (severe acute respiratory syndrome coronavirus 2 ... women with coronavirus disease 2019, and few resources exist to guide the multidisciplinary team through decisions ...
| Abstract | Since the emergence of a novel coronavirus (severe acute respiratory syndrome coronavirus 2) in Wuhan, China, at the end of December 2019, coronavirus disease 2019 has been associated with severe morbidity and mortality and has left world governments, healthcare systems, and providers caring for vulnerable populations, such as pregnant women, wrestling with the optimal management strategy. Unique physiologic and ethical considerations negate a one-size-fits-all approach when caring for critically ill pregnant women with coronavirus disease 2019, and few resources exist to guide the multidisciplinary team through decisions regarding optimal maternal-fetal surveillance, intensive care procedures, and delivery timing. We present a case of rapid clinical decompensation and development of severe acute respiratory distress syndrome in a woman at 31 weeks' gestation to highlight these unique considerations and present an algorithmic approach to the diagnosis and management of the disease. |
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| MeSH term(s) | Adult ; COVID-19/complications ; COVID-19/diagnosis ; COVID-19/physiopathology ; COVID-19/therapy ; COVID-19 Testing/methods ; Cesarean Section, Repeat/methods ; Clinical Deterioration ; Critical Care/methods ; Female ; Humans ; Infection Control/methods ; Lung/diagnostic imaging ; Patient Positioning/methods ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/etiology ; Pneumonia, Viral/physiopathology ; Pregnancy ; Pregnancy Complications, Infectious/physiopathology ; Pregnancy Complications, Infectious/therapy ; Pregnancy Complications, Infectious/virology ; Pregnancy Outcome ; Pregnancy Trimester, Third ; Respiration, Artificial/methods ; Respiratory Distress Syndrome/diagnosis ; Respiratory Distress Syndrome/therapy ; Respiratory Distress Syndrome/virology ; SARS-CoV-2/isolation & purification ; SARS-CoV-2/pathogenicity ; Tomography, X-Ray Computed/methods ; Treatment Outcome ; Ultrasonography/methods |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-04-14 |
| Publishing country | United States |
| Document type | Case Reports ; Journal Article |
| ISSN | 2589-9333 |
| ISSN (online) | 2589-9333 |
| DOI | 10.1016/j.ajogmf.2020.100120 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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