1. Peripartum veno-venous extracorporeal membrane oxygenation in patients with severe CoViD-19-related-ARDS.
- Author
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Kakar, Vivek, Ahmed, Ihab, Ahmed, Walid, Raposo, Nuno, and Kumar G, Praveen
- Subjects
ADULT respiratory distress syndrome treatment ,COVID-19 ,EXTRACORPOREAL membrane oxygenation ,ADULT respiratory distress syndrome ,SEVERITY of illness index ,PREGNANCY outcomes ,COMPARATIVE studies ,CASE studies ,PREGNANCY complications ,DESCRIPTIVE statistics ,VACCINATION status ,PERINATAL period ,DISCHARGE planning ,PREGNANCY - Abstract
We describe a case series of five pregnant or postpartum women with severe CoViD-19-related ARDS requiring VV ECMO at our centre between Jan 1 and Sep 30, 2021. All patients were cannulated at the referring hospitals by our team before transferring to our centre. None of the women were vaccinated against CoViD-19. All had severe ARDS with Murray's Lung Injury Score of 3โ4 and met the severity threshold for ECMO initiation that was used in the EOLIA study. All patients were discharged alive to home, acute rehabilitation, or lung transplant centre. One patient suffered intrauterine death before ECMO initiation and another while on ECMO. VV ECMO for refractory CoViD-19 related ARDS in the peripartum period is safe, and in this small series, it was associated with good maternal survival rates. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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