Continuous Positive Airway Pressure (CPAP) delivered through a diving suit – that transparent helmet that in the pandemic era has become one of the main tools for treating acute respiratory failure linked to Covid-19 – can reduce the risk for pregnant women of end up intubated. This is what emerges from an Italian study that enrolled 41 pregnant women hospitalized for Sars-CoV-2 pneumonia at the San Gerardo hospital in Monza between March 2020 and March 2021. The CPAP was applied in cases of moderate respiratory insufficiency- strict.
The experts wanted to deepen the application of the technique in this category of patients since the experience so far was “very poor”, explain the authors of the work that was published in the journal ‘Plos One’. The joint work of Pneumology and Intensive Therapy of Asst Monza with the Obstetrics of the Monza and Brianza Foundation for the child and his mother (Mbbm) has made it possible to extend case studies and results, “with positive outcomes”. The study aims to describe the natural history and outcome of respiratory failure in a cohort of pregnant women with SARS-CoV-2 pneumonia, focusing on the efficacy and safety of CPAP application and risk factors associated with worsening of respiratory failure itself.
In the cohort of patients enrolled in the study, 66% showed the need for oxygen therapy and 24% required the application of CPAP using a helmet. In the 10 patients who underwent CPAP, “a significant improvement in oxygenation was observed and the control was well tolerated in all cases without adverse events”.
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