Extracorporeal Membrane Oxygenation During Pregnancy.

Luis D Pacheco, Amir A Shamshirsaz
Author Information
  1. Luis D Pacheco: Divisions of Maternal Fetal Medicine and Surgical Critical Care,Departments of Obstetrics, Gynecology, and Anesthesiology, University of Texas Medical Branch, Galveston.
  2. Amir A Shamshirsaz: Maternal Fetal Medicine/Surgical Critical Care, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology.

Abstract

In the last 2 decades, the use of venovenous (VV) and venoarterial (VA) extracorporeal membrane oxygenation (ECMO) during pregnancy and the postpartum period has increased, mirroring the increased utilization in nonpregnant individuals worldwide. VV ECMO provides respiratory support for patients with acute respiratory distress syndrome (ARDS) who fail conventional mechanical ventilation. With the COVID-19 pandemic, the use of VV ECMO has increased dramatically and data during pregnancy and the postpartum period are overall reassuring. In contrast, VA ECMO provides both respiratory and cardiovascular support. Data on the use of VA ECMO during pregnancy are extremely limited.

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MeSH Term

Female
Humans
Pregnancy
COVID-19
Extracorporeal Membrane Oxygenation
Pandemics
Respiration, Artificial
Treatment Failure
Respiratory Distress Syndrome

Word Cloud

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