Extracorporeal Membrane Oxygenation for Pregnant and Postpartum Patients

被引：13

作者：

Wong, Michael J. ^{[1
]}

Bharadwaj, Shobana ^{[1
]}

Galey, Jessica L. ^{[1
]}

Lankford, Allison S. ^{[2
,3
]}

Galvagno, Samuel ^{[4
]}

Kodali, Bhavani Shankar ^{[1
]}

机构：

[1] Univ Maryland, Sch Med, Div Obstetr Anesthesiol, Dept Anesthesiol, Baltimore, MD 21201 USA

[2] Univ Maryland, Dept Obstet & Gynecol, Sch Med, Baltimore, MD 21201 USA

[3] Shock Trauma Ctr, Program Trauma & Anesthesia Crit Care, Baltimore, MD USA

[4] Univ Maryland, Dept Anesthesiol, Multi Trauma Crit Care Unit, Ctr Shock Trauma,Sch Med, Baltimore, MD 21201 USA

来源：

ANESTHESIA AND ANALGESIA | 2022年 / 135卷 / 02期

关键词：

ACUTE RESPIRATORY-FAILURE; LIFE-SUPPORT; MECHANICAL VENTILATION; MATERNAL HYPERVENTILATION; FETAL OXYGENATION; CRITICAL ILLNESS; INTENSIVE-CARE; BLOOD-FLOW; ADULT; PHYSIOLOGY;

D O I：

10.1213/ANE.0000000000005861

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Extracorporeal membrane oxygenation (ECMO) has seen increasing use for critically ill pregnant and postpartum patients over the past decade. Growing experience continues to demonstrate the feasibility of ECMO in obstetric patients and attest to its favorable outcomes. However, the interaction of pregnancy physiology with ECMO life support requires careful planning and adaptation for success. Additionally, the maintenance of fetal oxygenation and perfusion is essential for safely continuing pregnancy during ECMO support. This review summarizes the considerations for use of ECMO in obstetric patients and how to address these concerns.

引用

页码：277 / 289

页数：13

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