Severe COVID-19-Related Acute Respiratory Distress Syndrome (ARDS) in Pregnancy: Prompt Delivery May Be Life-Saving—A Case Report and Review of Literature
Abstract To assess if preterm termination of pregnancy improves maternal outcome in COVID-19 ARDS. A 35-year-old, woman at 36 weeks period of gestation with severe COVID-19-related ARDS, whose rapid deterioration despite starting steroids, antibiotics, low molecular weight heparin, and optimizing ve...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Sachdeva, Mohini [verfasserIn] Roy, Kallol Kumar [verfasserIn] Zangmo, Rinchen [verfasserIn] Singh, Nilanchali [verfasserIn] Bharti, Juhi [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2024 |
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| Schlagwörter: |
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| Anmerkung: |
© The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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| Übergeordnetes Werk: |
Enthalten in: SN comprehensive clinical medicine - Springer International Publishing, 2019, 6(2024), 1 vom: 30. Juli |
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| Übergeordnetes Werk: |
volume:6 ; year:2024 ; number:1 ; day:30 ; month:07 |
| Links: |
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| DOI / URN: |
10.1007/s42399-024-01710-5 |
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| Katalog-ID: |
SPR056795823 |
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| 520 | |a Abstract To assess if preterm termination of pregnancy improves maternal outcome in COVID-19 ARDS. A 35-year-old, woman at 36 weeks period of gestation with severe COVID-19-related ARDS, whose rapid deterioration despite starting steroids, antibiotics, low molecular weight heparin, and optimizing ventilatory support, led us to intervene with a preterm emergency cesarean section. The most important factor in consideration was the limitation of maternal respiratory management due to pregnancy and superimposed maternal metabolic acidosis with the risk of fetal acidosis. The rationale of delivery was to improve respiratory mechanics and decrease maternal oxygen requirement. Some studies have discussed the importance of preterm termination of pregnancy with severe COVID-19 ARDS and investigated its impact on feto-maternal outcomes. This aspect is important as ethical and physiologic considerations in pregnancy, obviate the use of a single protocol for all pregnant women. Timely termination of pregnancy may improve maternal outcome in severe COVID-19 ARDS. | ||
| 650 | 4 | |a Case report |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Cesarean section |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Preterm delivery |7 (dpeaa)DE-He213 | |
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| 650 | 4 | |a ARDS |7 (dpeaa)DE-He213 | |
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10.1007/s42399-024-01710-5 doi (DE-627)SPR056795823 (SPR)s42399-024-01710-5-e DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ Sachdeva, Mohini verfasserin (orcid)0000-0002-8181-5687 aut Severe COVID-19-Related Acute Respiratory Distress Syndrome (ARDS) in Pregnancy: Prompt Delivery May Be Life-Saving—A Case Report and Review of Literature 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Abstract To assess if preterm termination of pregnancy improves maternal outcome in COVID-19 ARDS. A 35-year-old, woman at 36 weeks period of gestation with severe COVID-19-related ARDS, whose rapid deterioration despite starting steroids, antibiotics, low molecular weight heparin, and optimizing ventilatory support, led us to intervene with a preterm emergency cesarean section. The most important factor in consideration was the limitation of maternal respiratory management due to pregnancy and superimposed maternal metabolic acidosis with the risk of fetal acidosis. The rationale of delivery was to improve respiratory mechanics and decrease maternal oxygen requirement. Some studies have discussed the importance of preterm termination of pregnancy with severe COVID-19 ARDS and investigated its impact on feto-maternal outcomes. This aspect is important as ethical and physiologic considerations in pregnancy, obviate the use of a single protocol for all pregnant women. Timely termination of pregnancy may improve maternal outcome in severe COVID-19 ARDS. Case report (dpeaa)DE-He213 Cesarean section (dpeaa)DE-He213 Preterm delivery (dpeaa)DE-He213 COVID-19 (dpeaa)DE-He213 ARDS (dpeaa)DE-He213 Roy, Kallol Kumar verfasserin aut Zangmo, Rinchen verfasserin aut Singh, Nilanchali verfasserin aut Bharti, Juhi verfasserin aut Enthalten in SN comprehensive clinical medicine Springer International Publishing, 2019 6(2024), 1 vom: 30. Juli (DE-627)1037103696 (DE-600)2947252-0 2523-8973 nnns volume:6 year:2024 number:1 day:30 month:07 https://dx.doi.org/10.1007/s42399-024-01710-5 X:SPRINGER Resolving-System lizenzpflichtig Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 6 2024 1 30 07 |
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10.1007/s42399-024-01710-5 doi (DE-627)SPR056795823 (SPR)s42399-024-01710-5-e DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ Sachdeva, Mohini verfasserin (orcid)0000-0002-8181-5687 aut Severe COVID-19-Related Acute Respiratory Distress Syndrome (ARDS) in Pregnancy: Prompt Delivery May Be Life-Saving—A Case Report and Review of Literature 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Abstract To assess if preterm termination of pregnancy improves maternal outcome in COVID-19 ARDS. A 35-year-old, woman at 36 weeks period of gestation with severe COVID-19-related ARDS, whose rapid deterioration despite starting steroids, antibiotics, low molecular weight heparin, and optimizing ventilatory support, led us to intervene with a preterm emergency cesarean section. The most important factor in consideration was the limitation of maternal respiratory management due to pregnancy and superimposed maternal metabolic acidosis with the risk of fetal acidosis. The rationale of delivery was to improve respiratory mechanics and decrease maternal oxygen requirement. Some studies have discussed the importance of preterm termination of pregnancy with severe COVID-19 ARDS and investigated its impact on feto-maternal outcomes. This aspect is important as ethical and physiologic considerations in pregnancy, obviate the use of a single protocol for all pregnant women. Timely termination of pregnancy may improve maternal outcome in severe COVID-19 ARDS. Case report (dpeaa)DE-He213 Cesarean section (dpeaa)DE-He213 Preterm delivery (dpeaa)DE-He213 COVID-19 (dpeaa)DE-He213 ARDS (dpeaa)DE-He213 Roy, Kallol Kumar verfasserin aut Zangmo, Rinchen verfasserin aut Singh, Nilanchali verfasserin aut Bharti, Juhi verfasserin aut Enthalten in SN comprehensive clinical medicine Springer International Publishing, 2019 6(2024), 1 vom: 30. Juli (DE-627)1037103696 (DE-600)2947252-0 2523-8973 nnns volume:6 year:2024 number:1 day:30 month:07 https://dx.doi.org/10.1007/s42399-024-01710-5 X:SPRINGER Resolving-System lizenzpflichtig Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 6 2024 1 30 07 |
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10.1007/s42399-024-01710-5 doi (DE-627)SPR056795823 (SPR)s42399-024-01710-5-e DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ Sachdeva, Mohini verfasserin (orcid)0000-0002-8181-5687 aut Severe COVID-19-Related Acute Respiratory Distress Syndrome (ARDS) in Pregnancy: Prompt Delivery May Be Life-Saving—A Case Report and Review of Literature 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Abstract To assess if preterm termination of pregnancy improves maternal outcome in COVID-19 ARDS. A 35-year-old, woman at 36 weeks period of gestation with severe COVID-19-related ARDS, whose rapid deterioration despite starting steroids, antibiotics, low molecular weight heparin, and optimizing ventilatory support, led us to intervene with a preterm emergency cesarean section. The most important factor in consideration was the limitation of maternal respiratory management due to pregnancy and superimposed maternal metabolic acidosis with the risk of fetal acidosis. The rationale of delivery was to improve respiratory mechanics and decrease maternal oxygen requirement. Some studies have discussed the importance of preterm termination of pregnancy with severe COVID-19 ARDS and investigated its impact on feto-maternal outcomes. This aspect is important as ethical and physiologic considerations in pregnancy, obviate the use of a single protocol for all pregnant women. Timely termination of pregnancy may improve maternal outcome in severe COVID-19 ARDS. Case report (dpeaa)DE-He213 Cesarean section (dpeaa)DE-He213 Preterm delivery (dpeaa)DE-He213 COVID-19 (dpeaa)DE-He213 ARDS (dpeaa)DE-He213 Roy, Kallol Kumar verfasserin aut Zangmo, Rinchen verfasserin aut Singh, Nilanchali verfasserin aut Bharti, Juhi verfasserin aut Enthalten in SN comprehensive clinical medicine Springer International Publishing, 2019 6(2024), 1 vom: 30. Juli (DE-627)1037103696 (DE-600)2947252-0 2523-8973 nnns volume:6 year:2024 number:1 day:30 month:07 https://dx.doi.org/10.1007/s42399-024-01710-5 X:SPRINGER Resolving-System lizenzpflichtig Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 6 2024 1 30 07 |
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10.1007/s42399-024-01710-5 doi (DE-627)SPR056795823 (SPR)s42399-024-01710-5-e DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ Sachdeva, Mohini verfasserin (orcid)0000-0002-8181-5687 aut Severe COVID-19-Related Acute Respiratory Distress Syndrome (ARDS) in Pregnancy: Prompt Delivery May Be Life-Saving—A Case Report and Review of Literature 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Abstract To assess if preterm termination of pregnancy improves maternal outcome in COVID-19 ARDS. A 35-year-old, woman at 36 weeks period of gestation with severe COVID-19-related ARDS, whose rapid deterioration despite starting steroids, antibiotics, low molecular weight heparin, and optimizing ventilatory support, led us to intervene with a preterm emergency cesarean section. The most important factor in consideration was the limitation of maternal respiratory management due to pregnancy and superimposed maternal metabolic acidosis with the risk of fetal acidosis. The rationale of delivery was to improve respiratory mechanics and decrease maternal oxygen requirement. Some studies have discussed the importance of preterm termination of pregnancy with severe COVID-19 ARDS and investigated its impact on feto-maternal outcomes. This aspect is important as ethical and physiologic considerations in pregnancy, obviate the use of a single protocol for all pregnant women. Timely termination of pregnancy may improve maternal outcome in severe COVID-19 ARDS. Case report (dpeaa)DE-He213 Cesarean section (dpeaa)DE-He213 Preterm delivery (dpeaa)DE-He213 COVID-19 (dpeaa)DE-He213 ARDS (dpeaa)DE-He213 Roy, Kallol Kumar verfasserin aut Zangmo, Rinchen verfasserin aut Singh, Nilanchali verfasserin aut Bharti, Juhi verfasserin aut Enthalten in SN comprehensive clinical medicine Springer International Publishing, 2019 6(2024), 1 vom: 30. Juli (DE-627)1037103696 (DE-600)2947252-0 2523-8973 nnns volume:6 year:2024 number:1 day:30 month:07 https://dx.doi.org/10.1007/s42399-024-01710-5 X:SPRINGER Resolving-System lizenzpflichtig Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 6 2024 1 30 07 |
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10.1007/s42399-024-01710-5 doi (DE-627)SPR056795823 (SPR)s42399-024-01710-5-e DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ Sachdeva, Mohini verfasserin (orcid)0000-0002-8181-5687 aut Severe COVID-19-Related Acute Respiratory Distress Syndrome (ARDS) in Pregnancy: Prompt Delivery May Be Life-Saving—A Case Report and Review of Literature 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Abstract To assess if preterm termination of pregnancy improves maternal outcome in COVID-19 ARDS. A 35-year-old, woman at 36 weeks period of gestation with severe COVID-19-related ARDS, whose rapid deterioration despite starting steroids, antibiotics, low molecular weight heparin, and optimizing ventilatory support, led us to intervene with a preterm emergency cesarean section. The most important factor in consideration was the limitation of maternal respiratory management due to pregnancy and superimposed maternal metabolic acidosis with the risk of fetal acidosis. The rationale of delivery was to improve respiratory mechanics and decrease maternal oxygen requirement. Some studies have discussed the importance of preterm termination of pregnancy with severe COVID-19 ARDS and investigated its impact on feto-maternal outcomes. This aspect is important as ethical and physiologic considerations in pregnancy, obviate the use of a single protocol for all pregnant women. Timely termination of pregnancy may improve maternal outcome in severe COVID-19 ARDS. Case report (dpeaa)DE-He213 Cesarean section (dpeaa)DE-He213 Preterm delivery (dpeaa)DE-He213 COVID-19 (dpeaa)DE-He213 ARDS (dpeaa)DE-He213 Roy, Kallol Kumar verfasserin aut Zangmo, Rinchen verfasserin aut Singh, Nilanchali verfasserin aut Bharti, Juhi verfasserin aut Enthalten in SN comprehensive clinical medicine Springer International Publishing, 2019 6(2024), 1 vom: 30. Juli (DE-627)1037103696 (DE-600)2947252-0 2523-8973 nnns volume:6 year:2024 number:1 day:30 month:07 https://dx.doi.org/10.1007/s42399-024-01710-5 X:SPRINGER Resolving-System lizenzpflichtig Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 6 2024 1 30 07 |
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Severe COVID-19-Related Acute Respiratory Distress Syndrome (ARDS) in Pregnancy: Prompt Delivery May Be Life-Saving—A Case Report and Review of Literature |
| abstract |
Abstract To assess if preterm termination of pregnancy improves maternal outcome in COVID-19 ARDS. A 35-year-old, woman at 36 weeks period of gestation with severe COVID-19-related ARDS, whose rapid deterioration despite starting steroids, antibiotics, low molecular weight heparin, and optimizing ventilatory support, led us to intervene with a preterm emergency cesarean section. The most important factor in consideration was the limitation of maternal respiratory management due to pregnancy and superimposed maternal metabolic acidosis with the risk of fetal acidosis. The rationale of delivery was to improve respiratory mechanics and decrease maternal oxygen requirement. Some studies have discussed the importance of preterm termination of pregnancy with severe COVID-19 ARDS and investigated its impact on feto-maternal outcomes. This aspect is important as ethical and physiologic considerations in pregnancy, obviate the use of a single protocol for all pregnant women. Timely termination of pregnancy may improve maternal outcome in severe COVID-19 ARDS. © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
| abstractGer |
Abstract To assess if preterm termination of pregnancy improves maternal outcome in COVID-19 ARDS. A 35-year-old, woman at 36 weeks period of gestation with severe COVID-19-related ARDS, whose rapid deterioration despite starting steroids, antibiotics, low molecular weight heparin, and optimizing ventilatory support, led us to intervene with a preterm emergency cesarean section. The most important factor in consideration was the limitation of maternal respiratory management due to pregnancy and superimposed maternal metabolic acidosis with the risk of fetal acidosis. The rationale of delivery was to improve respiratory mechanics and decrease maternal oxygen requirement. Some studies have discussed the importance of preterm termination of pregnancy with severe COVID-19 ARDS and investigated its impact on feto-maternal outcomes. This aspect is important as ethical and physiologic considerations in pregnancy, obviate the use of a single protocol for all pregnant women. Timely termination of pregnancy may improve maternal outcome in severe COVID-19 ARDS. © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
| abstract_unstemmed |
Abstract To assess if preterm termination of pregnancy improves maternal outcome in COVID-19 ARDS. A 35-year-old, woman at 36 weeks period of gestation with severe COVID-19-related ARDS, whose rapid deterioration despite starting steroids, antibiotics, low molecular weight heparin, and optimizing ventilatory support, led us to intervene with a preterm emergency cesarean section. The most important factor in consideration was the limitation of maternal respiratory management due to pregnancy and superimposed maternal metabolic acidosis with the risk of fetal acidosis. The rationale of delivery was to improve respiratory mechanics and decrease maternal oxygen requirement. Some studies have discussed the importance of preterm termination of pregnancy with severe COVID-19 ARDS and investigated its impact on feto-maternal outcomes. This aspect is important as ethical and physiologic considerations in pregnancy, obviate the use of a single protocol for all pregnant women. Timely termination of pregnancy may improve maternal outcome in severe COVID-19 ARDS. © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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Severe COVID-19-Related Acute Respiratory Distress Syndrome (ARDS) in Pregnancy: Prompt Delivery May Be Life-Saving—A Case Report and Review of Literature |
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https://dx.doi.org/10.1007/s42399-024-01710-5 |
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Roy, Kallol Kumar Zangmo, Rinchen Singh, Nilanchali Bharti, Juhi |
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10.1007/s42399-024-01710-5 |
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2024-07-31T04:51:02.595Z |
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| score |
7.4027834 |