Extra-corporeal membrane oxygenation and emergency C-section for a pregnant COVID-19 positive patient.
Perfusion
; : 2676591211049769, 2021 Oct 07.
Article
in English
| MEDLINE | ID: covidwho-2244426
ABSTRACT
INTRODUCTION:
Data on extra-corporeal membrane oxygenation (ECMO) therapy for pregnant patients with Coronavirus 2019 (COVID-19) infection are limited. Here we report a case of an emergency cesarean section performed while the COVID-19 positive mother was on ECMO support. CASE REPORT A 36-year-old COVID-19 positive patient at 26 weeks gestational age presented with respiratory failure requiring extra-corporeal membrane oxygenation therapy. Nine days later fetal distress demanded an emergency C-section. After 5 weeks on ECMO, the patient was weaned off. Both mother and child were discharged.DISCUSSION:
The decision to perform an urgent C-section is one that requires meticulous thought from the attending team. Pulmonary maturation is key as pregnancy may need to be terminated at any time during ECMO.CONCLUSION:
Data on ECMO support for pregnant patients with COVID-19 infection are scarce. Best results can be achieved ensuring adequate anticoagulation, meticulous choice of cannulas, continued fetal monitoring, early lung maturation, and precision timing of delivery.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Language:
English
Journal:
Perfusion
Journal subject:
Cardiology
Year:
2021
Document Type:
Article
Affiliation country:
02676591211049769
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