Major bleeding after pronation in severe COVID-19 patient

• Main Authors: Rosanna Carmela De Rosa, Michele Gallifuoco, Antonio Romanelli, Antonio Corcione
• Format: Article
• Language: English
• Published: Tabriz University of Medical Sciences Press 2021-02-01
• Series: Journal of Research in Clinical Medicine
• Subjects: anticoagulant therapy; ards; bleeding; covid-19; thrombosis
• Online Access: https://jrcm.tbzmed.ac.ir/PDF/jrcm-9-4.pdf

Contrarily to SARS and MERS, the evidence suggests that thromboembolic events are common in patients with COVID-19 pneumonia. The clinical course of severe COVID-19 patients can be complicated with coagulopathy, causing fatal thromboembolic events and requiring adequate treatment with anticoagulant therapy. However, the clinicians should be alerted about the increase of bleeding related to aggressive anticoagulation protocols, especially in critically ill patients who undergo traumatic maneuvers. Here, we reported the case of a 55-year-old woman with symptomatic COVID-19 pneumonia, admitted to the ICU and treated with anticoagulant therapy complicated by major bleeding, probably related to prone position for ARDS treatment.