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Somatic Support with Veno-venous ECMO in a Pregnant Woman with Brain Death: A Case Report.
Salazar, Leonardo; Arora, Lovkesh; Botia, Maria; Niño, Maria Azucena; Figueredo, Antonio; Alvarado, Jorge; Serrano, Norma; Riaño, Carlos; Pizarro, Camilo.
Affiliation
  • Salazar L; From the Department of Intensive Care, Fundación Cardiovascular de Colombia, Bucaramanga, Colombia.
  • Arora L; Department of Anesthesia & Critical Care, University of Iowa Hospitals & Clinics, Carver College of Medicine, Iowa City, IA.
  • Botia M; From the Department of Intensive Care, Fundación Cardiovascular de Colombia, Bucaramanga, Colombia.
  • Niño MA; Department of Pediatrics, Universidad Industrial de Santander, Bucaramanga, Colombia.
  • Figueredo A; Department of Cardiac Surgery, Fundación Cardiovascular de Colombia, Bucaramanga, Colombia.
  • Alvarado J; Department of Pediatrics, Fundación Cardiovascular de Colombia, Bucaramanga, Colombia.
  • Serrano N; Department of Medical Research, Fundación Cardiovascular de Colombia, Bucaramanga, Colombia.
  • Riaño C; Department of Obstetrics and Gynecology, Fundación Cardiovascular de Colombia, Bucaramanga, Colombia.
  • Pizarro C; From the Department of Intensive Care, Fundación Cardiovascular de Colombia, Bucaramanga, Colombia.
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.
Subject(s)

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

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