Successful Use of Extracorporeal Membrane Oxygenation Postpartum as Rescue Therapy in a Woman With COVID-19.
Identifieur interne : 000558 ( Main/Exploration ); précédent : 000557; suivant : 000559Successful Use of Extracorporeal Membrane Oxygenation Postpartum as Rescue Therapy in a Woman With COVID-19.
Auteurs : Antonio Fiore [France] ; Mariantonietta Piscitelli [France] ; Didier K. Adodo [France] ; Charrier Thomas [France] ; Armand Mekontso Dessap [France] ; François Bagate [France] ; Thierry Folliguet [France]Source :
- Journal of cardiothoracic and vascular anesthesia [ 1532-8422 ] ; 2020.
Abstract
Clinical manifestations of coronavirus disease 2019 in pregnant women, in contrast to previous outbreaks, seem to be similar to those of nonpregnant women. During severe acute respiratory syndrome (SARS), SARS influenza A, and Middle East respiratory syndrome outbreaks, an increased severity of disease among pregnant women was observed. In some pregnant women, respiratory failure can occur and progress quickly to acute respiratory distress syndrome requiring extracorporeal membrane oxygenation (ECMO) as a rescue therapy. Despite a lack of current guidelines on the use of ECMO in pregnant or postpartum women, this support therapy is an effective salvage therapy for patients with cardiac and/or respiratory failure, and is associated with favorable maternal and fetal outcomes. Herein, the authors report a case of severe COVID-19 disease in a pregnant patient after urgent cesarean delivery, who was treated successfully with ECMO during the postpartum. Extracorporeal membrane oxygenation should be considered early when conventional therapy is ineffective, and it is essential to refer to ECMO expert centers.
DOI: 10.1053/j.jvca.2020.07.088
PubMed: 32888800
PubMed Central: PMC7406470
Affiliations:
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During severe acute respiratory syndrome (SARS), SARS influenza A, and Middle East respiratory syndrome outbreaks, an increased severity of disease among pregnant women was observed. In some pregnant women, respiratory failure can occur and progress quickly to acute respiratory distress syndrome requiring extracorporeal membrane oxygenation (ECMO) as a rescue therapy. Despite a lack of current guidelines on the use of ECMO in pregnant or postpartum women, this support therapy is an effective salvage therapy for patients with cardiac and/or respiratory failure, and is associated with favorable maternal and fetal outcomes. Herein, the authors report a case of severe COVID-19 disease in a pregnant patient after urgent cesarean delivery, who was treated successfully with ECMO during the postpartum. Extracorporeal membrane oxygenation should be considered early when conventional therapy is ineffective, and it is essential to refer to ECMO expert centers.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32888800</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-8422</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Aug</Month><Day>06</Day></PubDate></JournalIssue><Title>Journal of cardiothoracic and vascular anesthesia</Title><ISOAbbreviation>J. Cardiothorac. Vasc. Anesth.</ISOAbbreviation></Journal><ArticleTitle>Successful Use of Extracorporeal Membrane Oxygenation Postpartum as Rescue Therapy in a Woman With COVID-19.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S1053-0770(20)30793-X</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1053/j.jvca.2020.07.088</ELocationID><Abstract><AbstractText>Clinical manifestations of coronavirus disease 2019 in pregnant women, in contrast to previous outbreaks, seem to be similar to those of nonpregnant women. During severe acute respiratory syndrome (SARS), SARS influenza A, and Middle East respiratory syndrome outbreaks, an increased severity of disease among pregnant women was observed. In some pregnant women, respiratory failure can occur and progress quickly to acute respiratory distress syndrome requiring extracorporeal membrane oxygenation (ECMO) as a rescue therapy. Despite a lack of current guidelines on the use of ECMO in pregnant or postpartum women, this support therapy is an effective salvage therapy for patients with cardiac and/or respiratory failure, and is associated with favorable maternal and fetal outcomes. Herein, the authors report a case of severe COVID-19 disease in a pregnant patient after urgent cesarean delivery, who was treated successfully with ECMO during the postpartum. Extracorporeal membrane oxygenation should be considered early when conventional therapy is ineffective, and it is essential to refer to ECMO expert centers.</AbstractText><CopyrightInformation>Copyright © 2020 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fiore</LastName><ForeName>Antonio</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Cardiac Surgery, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, Créteil, France. Electronic address: antonio.fiore@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Piscitelli</LastName><ForeName>Mariantonietta</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Cardiac Surgery, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, Créteil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Adodo</LastName><ForeName>Didier K</ForeName><Initials>DK</Initials><AffiliationInfo><Affiliation>Department of Cardiac Surgery, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, Créteil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thomas</LastName><ForeName>Charrier</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Cardiac Surgery, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, Créteil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dessap</LastName><ForeName>Armand Mekontso</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Medical Intensive Care Unit, DHU A-TVB, Henri-Mondor University Hospital, Assistance Publique -Hôpitaux de Paris (AP-HP), Créteil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bagate</LastName><ForeName>François</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Medical Intensive Care Unit, DHU A-TVB, Henri-Mondor University Hospital, Assistance Publique -Hôpitaux de Paris (AP-HP), Créteil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Folliguet</LastName><ForeName>Thierry</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Cardiac Surgery, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, Créteil, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Cardiothorac Vasc Anesth</MedlineTA><NlmUniqueID>9110208</NlmUniqueID><ISSNLinking>1053-0770</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">ARDS</Keyword><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Extracorporeal membrane oxygenation (ECMO)</Keyword><Keyword MajorTopicYN="N">maternal mortality</Keyword><Keyword MajorTopicYN="N">postpartum</Keyword><Keyword MajorTopicYN="N">pregnancy complication</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate 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