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To say something with difficulty or in a labored manner. A noun or pronoun can be used between "gasp" and "out." Luckily, the patient managed to gasp her symptoms out before collapsing. Kelsey's head popped out of the water, and she immediately gasped out, "How long was I under?"
gasp something out
to utter something, gasping. She gasped the words out haltingly. Dan was just able to gasp out the instructions before he passed out.