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Scientific paper - Case study
Whole Range of Respiratory Support in a Pregnant Woman with a Severe Form of COVID-19 Infection: A Case Report
Acta clinica Croatica, 62. (2023), Supplement 1; 154-159. https://doi.org/10.20471/acc.2023.62.s1.21
Berić, Sanja; Nesek Adam, Višnja; Šklebar, Ivan; Klancir, Tino; Žižak, Mark; Mličević, Marin

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Berić, S., Nesek Adam, V., Šklebar, I., Klancir, T., Žižak, M. & Mličević, M. (2023). Whole Range of Respiratory Support in a Pregnant Woman with a Severe Form of COVID-19 Infection: A Case Report. Acta clinica Croatica, 62.. (Supplement 1), 154-159. doi: 10.20471/acc.2023.62.s1.21

Berić, Sanja, et al. "Whole Range of Respiratory Support in a Pregnant Woman with a Severe Form of COVID-19 Infection: A Case Report." Acta clinica Croatica, vol. 62., no. Supplement 1, 2023, pp. 154-159. https://doi.org/10.20471/acc.2023.62.s1.21

Berić, Sanja, Višnja Nesek Adam, Ivan Šklebar, Tino Klancir, Mark Žižak and Marin Mličević. "Whole Range of Respiratory Support in a Pregnant Woman with a Severe Form of COVID-19 Infection: A Case Report." Acta clinica Croatica 62., no. Supplement 1 (2023): 154-159. https://doi.org/10.20471/acc.2023.62.s1.21

Berić, S., et al. (2023) 'Whole Range of Respiratory Support in a Pregnant Woman with a Severe Form of COVID-19 Infection: A Case Report', Acta clinica Croatica, 62.(Supplement 1), pp. 154-159. doi: 10.20471/acc.2023.62.s1.21

Berić S, Nesek Adam V, Šklebar I, Klancir T, Žižak M, Mličević M. Whole Range of Respiratory Support in a Pregnant Woman with a Severe Form of COVID-19 Infection: A Case Report. Acta clinica Croatica [Internet]. 2023 [cited 2025 February 22];62.(Supplement 1):154-159. doi: 10.20471/acc.2023.62.s1.21

S. Berić, V. Nesek Adam, I. Šklebar, T. Klancir, M. Žižak and M. Mličević, "Whole Range of Respiratory Support in a Pregnant Woman with a Severe Form of COVID-19 Infection: A Case Report", Acta clinica Croatica, vol. 62., no. Supplement 1, pp. 154-159, 2023. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:144:328489. [Accessed: 22 February 2025]

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Metadata
Title (english)Whole Range of Respiratory Support in a Pregnant Woman with a Severe Form of COVID-19 Infection: A Case Report
Title (croatian)Cijeli raspon respiracijske potpore kod trudnice s teškim oblikom infekcije COVID-19
AuthorSanja Berić
AuthorVišnja Nesek Adam https://orcid.org/0000-0002-6521-4136
AuthorIvan Šklebar
AuthorTino Klancir https://orcid.org/0009-0005-1949-6231
AuthorMark Žižak https://orcid.org/0009-0005-2140-0147
AuthorMarin Mličević
Author's institutionBjelovar University of Applied Sciences
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
Acute respiratory syndrome caused by a novel coronavirus (SARS-CoV-2) in pregnant women can progress to a critical condition. In this paper, we present a case of a woman in the 28th week of gestation hospitalized due to respiratory insufficiency caused by COVID-19 infection and consequent bilateral pneumonia with development of severe acute respiratory distress syndrome. Noninvasive ventilation through a face mask was started but due to progression of respiratory insufficiency with high FiO2 and positive end expiratory pressure (PEEP), we decided to intubate the patient, after which obstetricians agreed to complete pregnancy by cesarean section. The clinical course was complicated by desaturation and bradycardia with recurring asystole which recovered after the use of atropine. The patient was increasingly difficult to mechanically ventilate on the PSIMV modality (tidal volume [TV].
Abstract (croatian)
Akutni respiracijski sindrom uzrokovan novim koronavirusom (SARS-CoV-2) u trudnica se može komplicirati do kritičnog stanja. U ovom radu prikazujemo slučaj trudnice u 28. tjednu trudnoće hospitaliziranu zbog respiracijske insuficijencije uzrokovane infekcijom COVID-19 te posljedičnom obostranom pneumonijom i razvojem teškog ARDS-a. Započeta je neinvazivna ventilacija preko maske za lice, no zbog progresije respiracijske insuficijencije uz visoki FiO2 i PEEP odlučeno je provesti endotrahealnu intubaciju, nakon čega ginekolozi donose odluku o dovršenju trudnoće carskim rezom. Klinički tijek se komplicira desaturacijom te bradikardijom uz opetovane asistolije koje se oporave nakon primjene atropina. Bolesnicu se sve teže mehanički ventilira na modalitetu PSIMV (TV
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - domestic
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 62., no. Supplement 1, pp. 154-159
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2023.62.s1.21
URN:NBNurn:nbn:hr:144:328489
Publication2023
Document URLhttps://hrcak.srce.hr/307564
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2025-01-31 16:32:38