Spontaneous delivery during ECMO for H1N1 pneumonia-related ARDS – case report
Authors:
Kunstýř Jan 1; Lipš Michal 1; Bělohlávek Jan 2; Prskavec Tomáš 3; Mlejnský František 3; Koucký Michal 4; Sebroň Václav 4; Stříteský Martin 1; Bartáková Hana 1; Balík Martin 1
Authors‘ workplace:
Klinika anestezie, resuscitace a intenzivní medicíny, VFN Praha
1; II. interní klinika, VFN Praha
2; II. chirurgická klinika kardiovaskulární chirurgie, VFN Praha
3; Gynekologicko-porodnická klinika, VFN Praha
4
Published in:
Anest. intenziv. Med., 21, 2010, č. 5, s. 258-261
Category:
Intesive Care Medicine - Case Report
Overview
Authors present a case report of a woman in the 24th week of pregnancy who acquired intractable swine influenza-related ARDS. Failing conventional ICU therapy including aggressive mechanical ventilation, she was transferred to an ECMO centre where veno-venous (VV) ECMO provided oxygenation and ventilation together with the sanation of the lung injury and barotrauma. Thirty hours post commencing the VV-ECMO she spontaneously delivered. Besides a temporary cessation of the heparin infusion the delivery did not require special measures or changes to the ECMO therapy. The authors discuss the peri-partum issues in pregnant women suffering from severe respiratory failure on VV-ECMO. Complex ultrasound monitoring is highly recommended.
Keywords:
extracorporeal membrane oxygenation – ARDS – influenza type A – delivery
Sources
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Anaesthesiology, Resuscitation and Inten Intensive Care MedicineArticle was published in
Anaesthesiology and Intensive Care Medicine
2010 Issue 5
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