Abstract
Severe infection with COVID-19 virus in pregnancy offers unique management challenges for the obstetrician and critical care specialist. We report the case of a woman at 26 weeks of gestation with acute respiratory distress syndrome secondary to COVID-19 infection treated with dexamethasone, remdesivir, convalescent plasma and mechanical ventilation. Cesarean delivery was performed at 29 weeks due to worsening maternal status. This case offers insight into the assessment and successful use of treatment strategies, including dexamethasone, remdesivir, convalescent plasma, early prone positioning, conservative fluid management, permissive hypoxia and low tidal volume parameters with ventilator support for pregnancies affected by severe COVID-19 infection.
【저자키워드】 COVID-19, Dexamethasone, Respiratory failure, prone, Pregnancy, acute respiratory distress syndrome (ARDS), 【초록키워드】 convalescent plasma, Critical care, mechanical ventilation, hypoxia, Remdesivir, virus, COVID-19 infection, management, acute respiratory distress, prone positioning, Support, Volume, gestation, Severe COVID-19 Infection, Treatment strategies, ventilator, worsening, syndrome, offer, parameter, Fluid management, affected, was performed, treated, unique, infection with COVID-19, 【제목키워드】 Treatment, convalescent plasma, Remdesivir, Case report, prone positioning, Severe COVID-19 Infection,