%0 Journal Article
%T A Case of Two Cardiac Arrests in a Pregnant Woman with Severe Covid-19 Pneumonia
%A Ravshan Ibadov
%A Hilola Alimova
%A Gavhar Voitova
%A Sardor Ibragimov
%J Open Journal of Emergency Medicine
%P 168-175
%@ 2332-1814
%D 2022
%I Scientific Research Publishing
%R 10.4236/ojem.2022.104015
%X Background: COVID-19 pneumonia increases the risk for pregnant women and the fetuses
that often require intensive therapy. In addition to obvious therapeutic
targets, ICU staff has to control the psycho-emotional conditions of COVID-19
patients, e.g. intensive care unit syndrome and post-intensive care syndrome. Case
presentation: Patient M., Uzbek, 24 years old, gravida 1 (27 weeks) was
admitted to the Maternity Department of Zangiota hospital on 19.07.2021 with
the diagnosis of extremely severe COVID-19 pneumonia and respiratory failure
with psychomotor agitation. On day 4 her general condition deteriorated due to
the progression of pneumonia and involvement of abdominal organs associated
with 27-week pregnancy. On that day the fetus had no signs of life, and the
caesarean delivery was performed; the child was stillborn. For the next two
weeks the patient had been in medical coma due to the progression of
respiratory and multi-organ failure. The patient had two separate cardiac
arrests. Cardio-pulmonary resuscitation was successful. By day 20, the dynamics
of her cardiac activity has been completely restored. The brain function
restored to 15 on the Glasgow Coma Scale. Conclusion: Special measures of
prevention and treatment of multi-organ failure, intensive care unit syndrome
and post-intensive care syndrome should be taken in an ICU for pregnant women
with COVID-19 pneumonia.
%K Cardiac Arrest
%K Pregnant Women
%K COVID-19 Pneumonia
%K Psychomotor Agitation
%K Intensive Care Unit Syndrome
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=121181