Saturday, October 1, 2022

Pregnant woman wins 22-day long battle against Kovid

**Note that this work is being presented at the Euroanaesthesia Congress in Milan on 4-6 June. Please give credit to Congress when using this story**

Doctors in Croatia detail a pregnant COVID-19 patient’s 22-day battle for survival in a case report being presented at Euroanesthesia, the annual meeting of the European Society of Anesthesiology and Intensive Care (ESAIC) in Milan, Italy ( 4-6 June).

The 31-year-old woman, who was not vaccinated against Covid, had to undergo an emergency C-section before being put on ECMO (Extracorporeal Membrane Oxygenation A Machine), a “last resort” treatment that alters heart and lung function. gives. , allows them to recover.

The woman developed symptoms of COVID-19 on 16 October 2021 and tested positive four days later on 20 October. He was admitted to the University Hospital Split, Croatia on 26 October with shortness of breath, cough and weakness.

The woman, who was 33 weeks pregnant at the time of recruitment, had no significant underlying medical condition.

Her symptoms were initially mild but progressed rapidly, causing anxiety. A few hours after admission, despite being given supplemental oxygen, she had bad breath.

An interdisciplinary team led by As. Professor Sanda Stojanovic Stipic and involving ICU and maternal-fetal medicine physicians, decided to intubate the woman and perform a C-section.

“The patient’s condition was deteriorating rapidly,” says Dr Philippe Paris of the Department of Anesthesiology and Intensive Care, University Hospital Split, who is an anesthesiologist and one of the women’s care team.

“We had a short time frame before Baby Health could do this, so we formed a team and discussed what was best for both mother and baby to try to save the lives of both.

“Considering that the baby’s gestational age was quite advanced, and the mother’s health was deteriorating rapidly, we decided to have a C-section.

“Pregnancy is a stressful time for the body and giving birth to a baby will give the mother’s lungs time to heal on their own.”

The baby, weighing 2,380 g (5lb 4oz) was healthy and did not require any special medical care.

After the C-section, the woman was shifted to the hospital’s COVID ICU, where she was put on a ventilator. Despite this, his lung function ratio (P/F) ratio was 85. Ratios below 100 are classified as severe ARDS (acute respiratory distress syndrome, a condition in which the lungs are so severely damaged that the alveoli – the air sacs). Begin filling with fluid.)

His lung function ratio further deteriorated to 70 and he was placed on ECMO.

Dr. Paris says, “The mother’s condition was life-threatening and mechanical ventilation was not enough for her lungs to heal. “ECMO was his last chance. In our hospital we use ECMO 3-5 times a year.

“Her lung function gradually improved and after nine days she was removed from ECMO. On November 17, and after fighting for survival for 22 days, the mother and child were discharged from home.”

In the hospital and after returning home, the woman underwent extensive physiotherapy and has made a full recovery. His son is also healthy.

Dr. Paris says: “Every step of his fight was closely monitored by our amazing team of anesthesiologists and our ICU nurses. The effort of his team, led by Donkey. Prof. Sanda Stojanovic Stipic, and hard work this fight was important to win.

The woman’s doctors say that pregnancy should not be considered a contraindication for ECMO. They say: “Recent studies suggest to us that survival rates following the use of ECMO in pregnancy are higher for both mother and child. This may be because pregnant patients are generally young and in good health. Huh.”

Dr. Paris says: “The risks and benefits for both mother and fetus must be weighed against each other. In this situation, the advanced gestational age of the fetus was balanced against the rapidly deteriorating clinical condition of the mother.

“Timing is everything in medicine. The right timing saves lives.”

The woman was not vaccinated for COVID-19. Dr Paris says: “Vaccination is extremely important – it saves lives.

“Studies suggest that there is no safety concern for babies born to women who are vaccinated against COVID-19 during pregnancy.

“I urge you to get your vaccine as soon as possible.”

/public release. This material from the parent organization/author(s) may be of a periodic nature, edited for clarity, style and length. The views and opinions expressed are those of the author(s). View full here.

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