���nc� Trimester Gebede COV�D-19� a Ba�l� ARDS Geli�imi ve Ba�ar�l� Multidisipliner Olgu Y�netimi

Y�lmam, �lker; Hanc�, Pervin

Cilt : 13 Say� : 3 Y�l : 2024

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H�zl� Arama

��nc� Trimester Gebede COV�D-19� a Ba�l� ARDS Geli�imi ve Ba�ar�l� Multidisipliner Olgu Y�netimi [Respir Case Rep]

Respir Case Rep. 2022; 11(3): 138-142 | DOI: 10.5505/respircase.2022.43179

��nc� Trimester Gebede COV�D-19� a Ba�l� ARDS Geli�imi ve Ba�ar�l� Multidisipliner Olgu Y�netimi

�lker Y�lmam¹, Pervin Hanc�²
¹Trakya �niversitesi T�p Fak�ltesi G��s Hastal�klar� Anabilim Dal�, Edirne
²Trakya �niversitesi T�p Fak�ltesi G��s Hastal�klar� Anabilim Dal�, Yo�un Bak�m Klini�i, Edirne

Gebe hastalarda COVID-19 hastal��, gebeli�in getirmi� oldu�u fizyolojik de�i�iklikler nedeni ile daha ciddi seyredebilmektedir. �o�u COV�D-19�lu gebe hastam�z, hastane yat��na gerek duyulmadan ayaktan takip edilmekle birlikte, �zellikle 3. trimesterde artan imm�nsupresyon, hastan�n a��s�z olmas� gibi risk fakt�rleri varl��nda, olgumuzda oldu�u gibi COV�D-19 enfeksiyonu h�zl� progresyon g�sterip solunum yetmezli�ine neden olabilir. Gebeli�inin 3. trimesterinde olan hastam�z�n yat��n�n 3. g�n�nde COV�D-19 pn�monisine ba�l� yo�un bak�m ihtiyac� g�stermesi �zerine multidisipliner bir yakla��m ile �nce acil do�um operasyonu ger�ekle�tirildi ve hasta postop yo�un bak�m �nitesinde mekanik ventilasyonda takip edildi. Hastam�z�, gebeli�inin 3. trimesterinde ciddi seyreden COV�D-19 hastal��na bir �rnek te�kil etmesi nedeni ile sunmak istedik.

Anahtar Kelimeler: COV�D-19, gebelik, yo�un bak�m �nitesi, multidisipliner y�netim

Development of ARDS due to COVID-19 in a Pregnant Woman in the Third Trimester and Successful Multidisciplinary Case Management

�lker Y�lmam¹, Pervin Hanc�²
¹Department of Pulmonary Medicine, Trakya University Medical Faculty, Edirne, T�rkiye
²Division of Intensive Care Medicine, Department of Pulmonology, Trakya University Medical Faculty, Edirne, T�rkiye

The course of COVID-19 disease may be more severe in pregnant patients due to the physiologic changes induced by pregnancy. Although most pregnant patients with COVID-19 are followed up as outpatients, requiring no hospitalization, COVID-19 infection, especially in the presence of risk factors such as increased immunosuppression in the third trimester and lack of vaccination, can progress rapidly and lead to respiratory failure, as in our case. Our patient was in the third trimester of her pregnancy, and required intensive care due to COVID-19 pneumonia on the third day of hospitalization, and an emergency delivery was performed initially with a multidisciplinary approach. The patient was then followed up in the respiratory intensive care unit under mechanical ventilation. Our patient is a remarkable example of severe COVID-19 disease in the third trimester of pregnancy.

Keywords: COVID-19, pregnancy, intensive care unit, multidisciplinary management

Olgunun G�r�nt� Kesitleri

Sorumlu Yazar: �lker Y�lmam, T�rkiye
Makale Dili: �ngilizce

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H�zl� Arama

���nc� Trimester Gebede COV�D-19� a Ba�l� ARDS Geli�imi ve Ba�ar�l� Multidisipliner Olgu Y�netimi

Development of ARDS due to COVID-19 in a Pregnant Woman in the Third Trimester and Successful Multidisciplinary Case Management

Olgunun G�r�nt� Kesitleri

��nc� Trimester Gebede COV�D-19� a Ba�l� ARDS Geli�imi ve Ba�ar�l� Multidisipliner Olgu Y�netimi