Somatic Support with Veno-venous ECMO in a Pregnant Woman with Brain Death: A Case Report

被引：3

作者：

Salazar, Leonardo ^{[1
]}

Arora, Lovkesh ^{[2
]}

Botia, Maria ^{[1
]}

Nino, Maria Azucena ^{[3
]}

Figueredo, Antonio ^{[4
]}

Alvarado, Jorge ^{[5
]}

Serrano, Norma ^{[6
]}

Riano, Carlos ^{[7
]}

Pizarro, Camilo ^{[1
]}

机构：

[1] Fdn Cardiovasc Colombia, Dept Intens Care, Bucaramanga, Colombia

[2] Univ Iowa Hosp & Clin, Carver Coll Med, Dept Anesthesia & Crit Care, 200 Hawkins Dr 6JCP, Iowa City, IA 52242 USA

[3] Univ Ind Santander, Dept Pediat, Bucaramanga, Colombia

[4] Fdn Cardiovasc Colombia, Dept Cardiac Surg, Bucaramanga, Colombia

[5] Fdn Cardiovasc Colombia, Dept Pediat, Bucaramanga, Colombia

[6] Fdn Cardiovasc Colombia, Dept Med Res, Bucaramanga, Colombia

[7] Fdn Cardiovasc Colombia, Dept Obstet & Gynecol, Bucaramanga, Colombia

来源：

ASAIO JOURNAL | 2022年 / 68卷 / 01期

关键词：

somatic support; extracorporeal membrane oxygenation (ECMO) in pregnancy; brain death in pregnancy; ethical challenges with somatic support; panhypopituitarism; viable gestational age; EXTRACORPOREAL MEMBRANE-OXYGENATION;

D O I：

10.1097/MAT.0000000000001411

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

Supporting homeostasis in a pregnant woman with brain death to achieve fetal viability is called somatic support. We present a case of young pregnant woman at 21 weeks' gestation who developed acute respiratory distress syndrome secondary to influenza A H2N3 infection requiring veno-venous extracorporeal membrane oxygenation (VV ECMO) support for refractory hypoxemia. The clinical course was complicated by intracranial hemorrhage and subsequent brain death. After multidisciplinary team discussion with her family, consensus was reached to continue somatic support with VV ECMO to enable fetal development to attain extrauterine viability. The challenging clinical, ethical, and legal concerns are discussed.

引用

页码：E16 / E18

页数：3

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