Use of Extracorporeal Respiratory Support During Pregnancy: A Case Report and Literature Review

被引：15

作者：

Grasselli, Giacomo ^{[1
]}

Bombino, Michela ^{[1
]}

Patroniti, Nicolo ^{[2
]}

Giuffrida, Angela ^{[1
]}

Marcolin, Roberto ^{[1
]}

Vergani, Patrizia ^{[3
]}

Pesenti, Antonio ^{[1
,2
]}

机构：

[1] San Gerardo Hosp, Dept Perioperat Med & Crit Care, I-20900 Monza, MB, Italy

[2] Univ Milano Bicocca, Dept Expt Med, Monza, Italy

[3] Univ Milano Bicocca, Dept Obstet & Gynecol, Monza, Italy

来源：

ASAIO JOURNAL | 2012年 / 58卷 / 03期

关键词：

2009; INFLUENZA; MEMBRANE-OXYGENATION; H1N1; MANAGEMENT;

D O I：

10.1097/MAT.0b013e318249695d

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

We describe the case of a 25 year-old woman at 27 weeks of gestation who was admitted to our intensive care unit (ICU) for acute respiratory distress syndrome (ARDS) caused by pandemic 2009 H1N1 influenza A. She presented with septic shock and refractory hypoxemia unresponsive to rescue therapies such as recruitment maneuvers, prone positioning, and nitric oxide inhalation. Extracorporeal membrane oxygenation (ECMO) for respiratory support was instituted, and the patient's clinical conditions progressively improved: she was extubated after 16 days and discharged from the ICU 3 days later. No fetal complications were observed. At 38 weeks of gestation she gave birth to a healthy baby. ASAIO Journal 2012; 58:281-284.

引用

页码：281 / 284

页数：4

共 19 条

[1]

Bautista E, 2010, NEW ENGL J MED, V362, P1708, DOI 10.1056/NEJMra1000449

[2] Acute respiratory distress syndrome in pregnancy and the puerperium: Causes, courses, and outcomes [J].

Catanzarite, V ;

Willms, D ;

Wong, D ;

Landers, C ;

Cousins, L ;

Schrimmer, D .

OBSTETRICS AND GYNECOLOGY, 2001, 97 (05) :760-764

[3] ANTENATAL CORTICOSTEROID-THERAPY - A METAANALYSIS OF THE RANDOMIZED TRIALS, 1972 TO 1994 [J].

CROWLEY, PA .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1995, 173 (01) :322-335

[4] Extracorporeal membrane oxygenation in pregnancy [J].

Cunningham, Jennifer A. ;

Devine, Patricia C. ;

Jelic, Sanja .

OBSTETRICS AND GYNECOLOGY, 2006, 108 (03) :792-795

[5] Extracorporeal Membrane Oxygenation for 2009 Influenza A(H1N1) Acute Respiratory Distress Syndrome [J].

Davies, Andrew ;

Jones, Daryl ;

Bailey, Michael ;

Beca, John ;

Bellomo, Rinaldo ;

Blackwell, Nikki ;

Forrest, Paul ;

Gattas, David ;

Granger, Emily ;

Herkes, Robert ;

Jackson, Andrew ;

McGuinness, Shay ;

Nair, Priya ;

Pellegrino, Vincent ;

Pettilae, Ville ;

Plunkett, Brian ;

Pye, Roger ;

Torzillo, Paul ;

Webb, Steve ;

Wilson, Michael ;

Ziegenfuss, Marc .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 302 (17) :1888-1895

[6]

Freed DH, 2010, CAN J ANAESTH, V57, P240, DOI 10.1007/s12630-009-9253-0

[7] Percutaneous vascular cannulation for extracorporeal life support (ECLS): A modified technique [J].

Grasselli, Giacomo ;

Pesenti, Antonio ;

Marcolin, Roberto ;

Patroniti, Nicolo ;

Isgro, Stefano ;

Tagliabue, Paola ;

Lucchini, Alberto ;

Fumagalli, Roberto .

INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS, 2010, 33 (08) :553-557

[8] Temporizing treatment for the respiratory-compromised gravida: an observational study of maternal and neonatal outcome [J].

Grisaru-Granovsky, S. ;

Ioscovich, A. ;

Hersch, M. ;

Schimmel, M. ;

Elstein, D. ;

Samueloff, A. .

INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2007, 16 (03) :261-264

[9] Clinical Management of Pandemic 2009 Influenza A(H1N1) Infection [J].

Hui, David S. ;

Lee, Nelson ;

Chan, Paul K. S. .

CHEST, 2010, 137 (04) :916-925

[10] Influenza epidemiology-past, present, and future [J].

Lagace-Wiens, Philippe R. S. ;

Rubinstein, Ethan ;

Gumel, Abba .

CRITICAL CARE MEDICINE, 2010, 38 :E1-E9

← 1 2 →