Extra-Corporeal Membrane Oxygenation in Pregnancy
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussions
4.1. Indications for ECMO Support
4.2. What Does the ECMO Circuit Consist of?
4.2.1. Veno-Arterial ECMO
4.2.2. Veno-Venous ECMO
4.3. Weaning from ECMO
4.4. Complications & Contraindications
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
References
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Maternal Indication | Cardiogenic Shock | Acute Respiratory Distress | Eclampsia | Pulmonary Embolism |
Fetal Indication | Twin to Twin Transfusion Syndrome | Hypoxic- Hischemic encephalopaty | Fetal Distress |
Indications for Veno-Venous-Extra Corporeal Membrane Oxygenation Support during Pregnancy in Case of Respiratory Failure/Acute Respiratory Distress Syndrome |
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Bleeding | Due to “ECMO-Associated Coagulopathy” the Etiology Is Multifactorial, Including Anticoagulation, Thrombocytopenia and Acquired Von Willebrand Disease |
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Infection | Should be administered a prophylactic antibiotic (low evidence). |
Thrombo- cytopenia | The goal is to maintain hemoglobin above 7 to 8 g/dL and platelets above >50,000/mm3. |
Neurological complications | Ischemic and hemorrhagic strokes and anoxic brain injury. It is more common in Veno-Arterial Extra Corporeal Membrane Oxygenation than in Veno-Venous Extra Corporeal Membrane Oxygenation (19% vs. 11%, respectively). |
Harlequin syndrome | Regional changes in skin coloration, with cyanosis of the upper portions of the body and a pinkish complexion of the lower regions. |
Thrombosis of ECMO circuit | Can be prevented with systemic anticoagulation. |
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Romenskaya, T.; Longhitano, Y.; Mahajan, A.; Savioli, G.; Voza, A.; Tesauro, M.; Zanza, C. Extra-Corporeal Membrane Oxygenation in Pregnancy. J. Clin. Med. 2024, 13, 1634. https://doi.org/10.3390/jcm13061634
Romenskaya T, Longhitano Y, Mahajan A, Savioli G, Voza A, Tesauro M, Zanza C. Extra-Corporeal Membrane Oxygenation in Pregnancy. Journal of Clinical Medicine. 2024; 13(6):1634. https://doi.org/10.3390/jcm13061634
Chicago/Turabian StyleRomenskaya, Tatsiana, Yaroslava Longhitano, Aman Mahajan, Gabriele Savioli, Antonio Voza, Manfredi Tesauro, and Christian Zanza. 2024. "Extra-Corporeal Membrane Oxygenation in Pregnancy" Journal of Clinical Medicine 13, no. 6: 1634. https://doi.org/10.3390/jcm13061634
APA StyleRomenskaya, T., Longhitano, Y., Mahajan, A., Savioli, G., Voza, A., Tesauro, M., & Zanza, C. (2024). Extra-Corporeal Membrane Oxygenation in Pregnancy. Journal of Clinical Medicine, 13(6), 1634. https://doi.org/10.3390/jcm13061634