Severe COVID-19 infection in pregnancy requiring intubation without preterm delivery: A case report.
Identifieur interne : 001763 ( Main/Corpus ); précédent : 001762; suivant : 001764Severe COVID-19 infection in pregnancy requiring intubation without preterm delivery: A case report.
Auteurs : Leah Hong ; Nicolina Smith ; Madhurima Keerthy ; Monica Lee-Griffith ; Robyn Garcia ; Majid Shaman ; Gregory GoyertSource :
- Case reports in women's health [ 2214-9112 ] ; 2020.
Abstract
Background
Coronavirus-2019 (COVID-19) is a global health crisis, but there is limited guidance for the critical care management of pregnant patients experiencing respiratory collapse. We describe our management of a peri-viable pregnant patient requiring intubation; discussion includes pharmacologic interventions, mechanical ventilation adjustments, and consideration of fetal interventions, including delivery timing.
Case
A 36-year-old, gravida 2, para 1 woman positive for COVID-19 at 23 weeks of gestation with severe disease required admission to the intensive care unit and intubation. She completed 5 days of hydroxychloroquine and 7 days of prednisone. She was successfully intubated after 8 days and discharged home in a stable condition without preterm delivery on hospital day 11.
Conclusion
Fortunately, the patient responded to aggressive respiratory support with intubation and mechanical ventilation early upon presentation. It is unclear whether our institution's empiric use of hydroxychloroquine and prednisone facilitated her recovery. We hope that our report helps other institutions navigate the complex care surrounding pregnant patients with severe COVID-19 pneumonia requiring intensive care.
DOI: 10.1016/j.crwh.2020.e00217
PubMed: 32382516
PubMed Central: PMC7204648
Links to Exploration step
pubmed:32382516Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Severe COVID-19 infection in pregnancy requiring intubation without preterm delivery: A case report.</title><author><name sortKey="Hong, Leah" sort="Hong, Leah" uniqKey="Hong L" first="Leah" last="Hong">Leah Hong</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Smith, Nicolina" sort="Smith, Nicolina" uniqKey="Smith N" first="Nicolina" last="Smith">Nicolina Smith</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Keerthy, Madhurima" sort="Keerthy, Madhurima" uniqKey="Keerthy M" first="Madhurima" last="Keerthy">Madhurima Keerthy</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Lee Griffith, Monica" sort="Lee Griffith, Monica" uniqKey="Lee Griffith M" first="Monica" last="Lee-Griffith">Monica Lee-Griffith</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Garcia, Robyn" sort="Garcia, Robyn" uniqKey="Garcia R" first="Robyn" last="Garcia">Robyn Garcia</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Shaman, Majid" sort="Shaman, Majid" uniqKey="Shaman M" first="Majid" last="Shaman">Majid Shaman</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Goyert, Gregory" sort="Goyert, Gregory" uniqKey="Goyert G" first="Gregory" last="Goyert">Gregory Goyert</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32382516</idno><idno type="pmid">32382516</idno><idno type="doi">10.1016/j.crwh.2020.e00217</idno><idno type="pmc">PMC7204648</idno><idno type="wicri:Area/Main/Corpus">001763</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001763</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Severe COVID-19 infection in pregnancy requiring intubation without preterm delivery: A case report.</title><author><name sortKey="Hong, Leah" sort="Hong, Leah" uniqKey="Hong L" first="Leah" last="Hong">Leah Hong</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Smith, Nicolina" sort="Smith, Nicolina" uniqKey="Smith N" first="Nicolina" last="Smith">Nicolina Smith</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Keerthy, Madhurima" sort="Keerthy, Madhurima" uniqKey="Keerthy M" first="Madhurima" last="Keerthy">Madhurima Keerthy</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Lee Griffith, Monica" sort="Lee Griffith, Monica" uniqKey="Lee Griffith M" first="Monica" last="Lee-Griffith">Monica Lee-Griffith</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Garcia, Robyn" sort="Garcia, Robyn" uniqKey="Garcia R" first="Robyn" last="Garcia">Robyn Garcia</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Shaman, Majid" sort="Shaman, Majid" uniqKey="Shaman M" first="Majid" last="Shaman">Majid Shaman</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Goyert, Gregory" sort="Goyert, Gregory" uniqKey="Goyert G" first="Gregory" last="Goyert">Gregory Goyert</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Henry Ford Hospital, Detroit, MI, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Case reports in women's health</title><idno type="eISSN">2214-9112</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Background</b></p><p>Coronavirus-2019 (COVID-19) is a global health crisis, but there is limited guidance for the critical care management of pregnant patients experiencing respiratory collapse. We describe our management of a peri-viable pregnant patient requiring intubation; discussion includes pharmacologic interventions, mechanical ventilation adjustments, and consideration of fetal interventions, including delivery timing.</p></div><div type="abstract" xml:lang="en"><p><b>Case</b></p><p>A 36-year-old, gravida 2, para 1 woman positive for COVID-19 at 23 weeks of gestation with severe disease required admission to the intensive care unit and intubation. She completed 5 days of hydroxychloroquine and 7 days of prednisone. She was successfully intubated after 8 days and discharged home in a stable condition without preterm delivery on hospital day 11.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>Fortunately, the patient responded to aggressive respiratory support with intubation and mechanical ventilation early upon presentation. It is unclear whether our institution's empiric use of hydroxychloroquine and prednisone facilitated her recovery. We hope that our report helps other institutions navigate the complex care surrounding pregnant patients with severe COVID-19 pneumonia requiring intensive care.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32382516</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>10</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">2214-9112</ISSN><JournalIssue CitedMedium="Internet"><Volume>27</Volume><PubDate><Year>2020</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Case reports in women's health</Title><ISOAbbreviation>Case Rep Womens Health</ISOAbbreviation></Journal><ArticleTitle>Severe COVID-19 infection in pregnancy requiring intubation without preterm delivery: A case report.</ArticleTitle><Pagination><MedlinePgn>e00217</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.crwh.2020.e00217</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Coronavirus-2019 (COVID-19) is a global health crisis, but there is limited guidance for the critical care management of pregnant patients experiencing respiratory collapse. We describe our management of a peri-viable pregnant patient requiring intubation; discussion includes pharmacologic interventions, mechanical ventilation adjustments, and consideration of fetal interventions, including delivery timing.</AbstractText><AbstractText Label="Case" NlmCategory="UNASSIGNED">A 36-year-old, gravida 2, para 1 woman positive for COVID-19 at 23 weeks of gestation with severe disease required admission to the intensive care unit and intubation. She completed 5 days of hydroxychloroquine and 7 days of prednisone. She was successfully intubated after 8 days and discharged home in a stable condition without preterm delivery on hospital day 11.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">Fortunately, the patient responded to aggressive respiratory support with intubation and mechanical ventilation early upon presentation. It is unclear whether our institution's empiric use of hydroxychloroquine and prednisone facilitated her recovery. We hope that our report helps other institutions navigate the complex care surrounding pregnant patients with severe COVID-19 pneumonia requiring intensive care.</AbstractText><CopyrightInformation>© 2020 The Authors.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hong</LastName><ForeName>Leah</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smith</LastName><ForeName>Nicolina</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Keerthy</LastName><ForeName>Madhurima</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee-Griffith</LastName><ForeName>Monica</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Garcia</LastName><ForeName>Robyn</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Henry Ford Hospital, Detroit, MI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shaman</LastName><ForeName>Majid</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Henry Ford Hospital, Detroit, MI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goyert</LastName><ForeName>Gregory</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Henry Ford Hospital, Detroit, MI, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Case Rep Womens Health</MedlineTA><NlmUniqueID>101682122</NlmUniqueID><ISSNLinking>2214-9112</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Acute respiratory distress</Keyword><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Corona virus</Keyword><Keyword MajorTopicYN="N">Intubation</Keyword><Keyword MajorTopicYN="N">Maternal fetal medicine</Keyword><Keyword MajorTopicYN="N">Pregnancy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>05</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>5</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>5</Month><Day>10</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32382516</ArticleId><ArticleId IdType="doi">10.1016/j.crwh.2020.e00217</ArticleId><ArticleId IdType="pii">S2214-9112(20)30047-3</ArticleId><ArticleId IdType="pii">e00217</ArticleId><ArticleId IdType="pmc">PMC7204648</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Am J Obstet Gynecol. 1971 Apr 15;109(8):1187-96</Citation><ArticleIdList><ArticleId IdType="pubmed">5554850</ArticleId></ArticleIdList></Reference><Reference><Citation>Cell Res. 2020 Mar;30(3):269-271</Citation><ArticleIdList><ArticleId IdType="pubmed">32020029</ArticleId></ArticleIdList></Reference><Reference><Citation>Obstet Gynecol. 1985 May;65(5):605-12</Citation><ArticleIdList><ArticleId IdType="pubmed">3982738</ArticleId></ArticleIdList></Reference><Reference><Citation>Intensive Care Med. 2020 Jun;46(6):1099-1102</Citation><ArticleIdList><ArticleId IdType="pubmed">32291463</ArticleId></ArticleIdList></Reference><Reference><Citation>Clin Chest Med. 1992 Dec;13(4):679-91</Citation><ArticleIdList><ArticleId IdType="pubmed">1478027</ArticleId></ArticleIdList></Reference><Reference><Citation>Int J Antimicrob Agents. 2020 Apr;55(4):105932</Citation><ArticleIdList><ArticleId IdType="pubmed">32145363</ArticleId></ArticleIdList></Reference><Reference><Citation>Biosci Trends. 2020 Mar 16;14(1):72-73</Citation><ArticleIdList><ArticleId IdType="pubmed">32074550</ArticleId></ArticleIdList></Reference><Reference><Citation>Springerplus. 2016 Jun 17;5(1):764</Citation><ArticleIdList><ArticleId IdType="pubmed">27386250</ArticleId></ArticleIdList></Reference><Reference><Citation>Ecancermedicalscience. 2020 Mar 27;14:1022</Citation><ArticleIdList><ArticleId IdType="pubmed">32256705</ArticleId></ArticleIdList></Reference><Reference><Citation>Crit Care Med. 2005 Oct;33(10 Suppl):S390-7</Citation><ArticleIdList><ArticleId IdType="pubmed">16215363</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/CovidChloroV1/Data/Main/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001763 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd -nk 001763 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= CovidChloroV1
|flux= Main
|étape= Corpus
|type= RBID
|clé= pubmed:32382516
|texte= Severe COVID-19 infection in pregnancy requiring intubation without preterm delivery: A case report.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Corpus/RBID.i -Sk "pubmed:32382516" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a CovidChloroV1
| This area was generated with Dilib version V0.6.38. |  |