Maternal Salvage With Extracorporeal Life Support: Lessons Learned in a Single Center

Biderman, Philippe; Carmi, Uri; Setton, E.; Fainblut, Michael; Bachar, Oren; Einav, Sharon

doi:10.1097/01.aoa.0000532276.67601.08

Cited by 5 publications

(7 citation statements)

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“…4 Further increasing ECMO flow eventually predisposes to undesirable recirculation between drainage and return cannulas, as well as chatter, hemolysis, and thrombocytopenia. 32,33 Beta-adrenergic antagonists can help reduce excessive cardiac output while on ECMO 34 , and this approach is acceptable for pregnant patients. 33 Esmolol or metoprolol is used to target a maternal heart rate of 100 beats per minute or lower.…”

Section: Ventilation and Oxygenationmentioning

confidence: 99%

Extracorporeal Membrane Oxygenation for Pregnant and Postpartum Patients

Wong

Bharadwaj

Galey

et al. 2022

Anesthesia &Amp; Analgesia

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Extracorporeal membrane oxygenation (ECMO) has seen increasing use for critically ill pregnant and postpartum patients over the past decade. Growing experience continues to demonstrate the feasibility of ECMO in obstetric patients and attest to its favorable outcomes. However, the interaction of pregnancy physiology with ECMO life support requires careful planning and adaptation for success. Additionally, the maintenance of fetal oxygenation and perfusion is essential for safely continuing pregnancy during ECMO support. This review summarizes the considerations for use of ECMO in obstetric patients and how to address these concerns.

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Section: Ventilation and Oxygenationmentioning

confidence: 99%

Extracorporeal Membrane Oxygenation for Pregnant and Postpartum Patients

Wong

Bharadwaj

Galey

et al. 2022

Anesthesia &Amp; Analgesia

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“…Therefore, in the gravid patient, higher initial VV ECMO flows than in the global adult population are often necessary to improve oxygenation (5-6 L/m²/min) 36 . A further increase in ECMO flow may lead to increased recirculation between drainage and return cannulas, hemolysis and thrombocytopenia 52 . Fortunately, other options to counteract ineffective VV ECMO blood flows are acceptable during pregnancy, including the use of beta blockers 52 (to reduce cardiac output) and the placement of an additional venous drainage cannula 53 .…”

Section: B) Ecmo Settingsmentioning

confidence: 99%

Veno-venous Extracorporeal Membrane Oxygenation for pregnant women with Acute Respiratory Distress Syndrome: a narrative review

Franquet¹,

Pierart²,

Defresne³

et al. 2022

Acta Anaest Belg

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Acute respiratory distress syndrome remains an uncommon condition during pregnancy. In patients with severe acute respiratory distress syndrome, when oxygenation or ventilation cannot be supported sufficiently using best practice conventional mechanical ventilation and additional therapies, veno-venous extracorporeal membrane oxygenation may be considered. In the past two decades, there has been increasing adoption of this technique to support adult patients with refractory acute respiratory distress syndrome. However, its use for the management of pregnant women is rare and remains a challenge. This narrative review addresses acute respiratory distress syndrome and its management during pregnancy, and then focuses on indications, contraindications, challenges, potential complications, and outcomes of the use of veno-venous extracorporeal membrane oxygenation for acute respiratory distress syndrome in the pregnant patient.

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“…In cases of AFE pathophysiology trait of acute right ventricular failure, and ensuing biventricular failure, multiorgan failure or associated respiratory failure, ECMO is preferred. In contrast to the other devices, ECMO provides complete cardiopulmonary support, leaves time for myocardial recovery, and prevents irreversible mutiple Submit your Manuscript | www.austinpublishinggroup.com organs failure [25,38,39].…”

Section: Mechanical Circulatory Supportmentioning

confidence: 99%

The Management of Amniotic Fluid Embolism

Wang¹,

Hu²

2021

austiniobstetgynecol

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Amniotic Fluid Embolism (AFE) as a devastating complication in obstetrics remains one leading causes of maternal mortality in developed country. During the process of resuscitation, there are some vital deficiencies which mainly involve neglect of high risk factors, delayed recognition of early signs and symptoms, poor knowledge about emergency resuscitation, invalid of management of heart failure, coagulopathy and multi-organ failure. This mini review mainly presented correlative high risk factors, early recognition initial signs or symptoms, and effective therapeutic measures including medicine selection of vasopressors and inotropes, application of Mechanical Circulatory Support (MCS), management of consumptive coagulation, and maintenance of homeostasis.

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Maternal Salvage With Extracorporeal Life Support: Lessons Learned in a Single Center

Cited by 5 publications

References 0 publications

Extracorporeal Membrane Oxygenation for Pregnant and Postpartum Patients

Extracorporeal Membrane Oxygenation for Pregnant and Postpartum Patients

Veno-venous Extracorporeal Membrane Oxygenation for pregnant women with Acute Respiratory Distress Syndrome: a narrative review

The Management of Amniotic Fluid Embolism

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