Delivery during extracorporeal membrane oxygenation (ECMO) support of pregnant woman with severe respiratory distress syndrome caused by influenza: a case report and review of the literature

作者

Liu, CL;Sun, WQ;Wang, CT;Liu, FL;Zhou, MX

作者单位

[Liu, Chunli; Wang, Chunting] Shandong Univ, Shandong Prov Hosp, Jinan, Shandong, Peoples R China.;-;[Liu, Chunli; Sun, Wenqing; Liu, Fenglin; Zhou, Mingxiang] Shandong Prov Chest Hosp, Jinan, Shandong, Peoples R China.

摘要

Objective: To report a case of labour induction during extracorporeal membrane oxygenation (ECMO) support in a patient with acute respiratory distress syndrome (ARDS) caused by influenza and review of the literature. Methods: Case report and the literature search of all English articles on delivery while on ECMO in patients with ARDS caused by influenza. Results: A 25-year-old pregnant woman was initiated with ECMO due to severe ARDS caused by influenza A (H1N1) virus. When the patient had symptoms of colporrhagia and uterine contractions, the medical team decided to start labour induction while on ECMO. There were in total five case reports identified. Maternal oxygenation was improved after delivery and ECMO was successfully discontinued. Conclusions: Maternal oxygenation was improved after delivery, which may be beneficial to reduce the duration of ECMO. Caesarean section (CS) may be the most used mode and labour induction could be another option. The procedure should be performed by an experienced ECMO team, cooperating with the obstetrician, anaesthesiologist, and ICU doctors.

关键词

H1N1 INFLUENZA; CESAREAN-SECTION; INFECTION; DEATH

基本信息

所属机构:

归属医师: 王春亭

PMID：29471707

UT：000466587700021

刊名:JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE

年，卷(期):2019年32卷15期

页码：2570-2574

DOI：10.1080/14767058.2018.1439471

附件： other

收录: SCIE