Somatic Support with Veno-venous ECMO in a Pregnant Woman with Brain Death: A Case Report.
ASAIO J
; 68(1): e16-e18, 2022 01 01.
Article
in En
| MEDLINE
| ID: mdl-33709988
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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Respiratory Distress Syndrome
/
Extracorporeal Membrane Oxygenation
/
Influenza, Human
Aspects:
Ethics
Limits:
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
ASAIO J
Journal subject:
TRANSPLANTE
Year:
2022
Document type:
Article
Affiliation country:
Colombia
Country of publication:
United States