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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 place of work: 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 the journal: Anest. intenziv. Med., 21, 2010, č. 5, s. 258-261
Category: Intesive Care Medicine - Case Report

Summary

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


Zdroje

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Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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