Prone Ventilation in a 27 Week Pregnant Woman with COVID-19 Severe ARDS
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
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.
COVID-19, Respiratory distress syndrome, Adult, Pronation, Pregnancy, Respiration, Artificial
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.
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