tetano
Editor, Senior Moderator
Membranes (Basel)
. 2021 Jul 17;11(7):544.
doi: 10.3390/membranes11070544.
COVID-19-Related Acute Respiratory Distress Syndrome in a Pregnant Woman Supported on ECMO: The Juxtaposition of Bleeding in a Hypercoagulable State
Mohsen Khalil[SUP] 1 [/SUP], Abid Butt[SUP] 1 [/SUP], Eiad Kseibi[SUP] 1 [/SUP], Eyad Althenayan[SUP] 1 [/SUP], Manal Alhazza[SUP] 1 [/SUP], Hend Sallam[SUP] 1 [/SUP]
Affiliations
Abstract
A 40-year-old pregnant woman at 28 weeks of gestation was diagnosed with severe acute respiratory failure syndrome (ARDS) due to coronavirus disease 2019 (COVID-19). She had severe hypoxemia despite the use of mechanical ventilation and muscle relaxant infusion. Veno-venous extracorporeal membrane oxygenation (VV-ECMO) was used, and she had a cesarian section while on ECMO support. She developed disseminated intravascular coagulation (DIC) with overt bleeding. This was managed by a multidisciplinary team (MDT) and a change of the ECMO circuit resulted in a dramatic improvement of her coagulation profile. Both the mother and the baby were discharged and went home in good condition.
Keywords: COVID-19; ECMO; coagulopathy; pregnant.
. 2021 Jul 17;11(7):544.
doi: 10.3390/membranes11070544.
COVID-19-Related Acute Respiratory Distress Syndrome in a Pregnant Woman Supported on ECMO: The Juxtaposition of Bleeding in a Hypercoagulable State
Mohsen Khalil[SUP] 1 [/SUP], Abid Butt[SUP] 1 [/SUP], Eiad Kseibi[SUP] 1 [/SUP], Eyad Althenayan[SUP] 1 [/SUP], Manal Alhazza[SUP] 1 [/SUP], Hend Sallam[SUP] 1 [/SUP]
Affiliations
- PMID: 34357194
- DOI: 10.3390/membranes11070544
Abstract
A 40-year-old pregnant woman at 28 weeks of gestation was diagnosed with severe acute respiratory failure syndrome (ARDS) due to coronavirus disease 2019 (COVID-19). She had severe hypoxemia despite the use of mechanical ventilation and muscle relaxant infusion. Veno-venous extracorporeal membrane oxygenation (VV-ECMO) was used, and she had a cesarian section while on ECMO support. She developed disseminated intravascular coagulation (DIC) with overt bleeding. This was managed by a multidisciplinary team (MDT) and a change of the ECMO circuit resulted in a dramatic improvement of her coagulation profile. Both the mother and the baby were discharged and went home in good condition.
Keywords: COVID-19; ECMO; coagulopathy; pregnant.