Table 2 ECMO treatment and outcome of the 5 cases
From: Five critically ill pregnant women/parturients treated with extracorporeal membrane oxygenation
Case | Conventional rescue time (h) | ECMO type | Duration of ECMO (d) | Duration of intensive care (d) | Hospital stays (d) | Other treatment | Transfusion of blood and blood products | Complications | Maternal and neonatal outcomes |
|---|---|---|---|---|---|---|---|---|---|
Case 1 | 4 | VA | 16 | 25 | 139 | VAV, atrial septal defect repair, double lung transplantation, tracheotomy | SLRRBC (14 U), plasma (2500 ml), platelet (1 dose) | Thrombus at the MO, local stratification and plasma penetration of the MO, pulmonary infection, inferior vena cava thrombosis | Mother died at 10 months after delivery and newborn survived |
Case 2 | 7 | VA → VV | 22 | 22 | 22 | Blood purification, VAV, anti-infection, acid suppression, nutritional support | SLRRBC (41 U), plasma (7550 ml), CCF (40 U), platelet (84 dose) | Ventilator-associated pneumonia, coagulopathy, multiple organ dysfunction syndrome, central diabetes insipidus, brain death, post-cardiopulmonary resuscitation syndrome, liver insufficiency, microbubbles in ECMO tubes | Mother died and newborn survived |
Case 3 | 6 | VV | 2 | 18 | 65 | VAV, continuous veno-venous hemofiltration (CVVH) | SLRRBC (40 U), plasma (4900 ml), CCF (10 U), platelet (2 dose) | Pulmonary infection, Sheehan's syndrome, hypopituitary crisis, acute hepatic and renal insufficiency, right lower limb ischemia, postpartum depression | Both mother and newborn survived |
Case 4 | 4 | VV | 3 | 6 | 18 | VAV | SLRRBC (3 U), plasma (400 ml) | Pulmonary infection | Both mother and newborn survived |
Case 5 | 17 | VA | 1/2 | 39 | 44 | VAV, hormone shock, immunoregulation, dehydration, tracheotomy, continuous renal replacement therapy (CRRT) | SLRRBC (18 U), plasma (5525 ml), platelet (9 dose) | Pulmonary infection, pulmonary edema, acute renal insufficiency, hypothyroidism, severe metabolic acidosis, pancreatitis, coagulopathy | Both mother and newborn died |