Abstract
Background: The aim of study was to summarize the clinical characteristics and experience of extracorporeal membrane oxygenation (ECMO) in pregnant and postpartum patients.Methods and Results: We retrospectively reviewed 131 consecutive ECMO patients at our center from May 2015 to May 2021. A total of 10 Chinese patients were pregnant or postpartum at the time of ECMO initiation. Patients ranged in age from 25 to 36 years (median age 30.5 years). The ECMO duration ranged from 3 to 31 days (median duration 8 days). There was a stabilizing trend of acid-base balance and decreasing lactic acid over the 3 days following ECMO initiation. Seven (70%) patients survived at least 48 h after weaning from ECMO. Four (40%) patients survived until discharge, and four (40%) fetuses survived until discharge.Conclusion: ECMO provides a suitable temporary cardiopulmonary support for pregnant and postpartum patients. ECMO shows a favorable effect on short-term stability in critical obstetric patients.
Highlights
Extracorporeal membrane oxygenation (ECMO) is an extracorporeal life-support technology for patients suffering from refractory cardiac shock and/or respiratory failure
We completed a retrospective review of all patients treated with ECMO who were admitted to our hospital between May 2015 and May 2021; the first pregnant patient treated with ECMO in our hospital was in 2015
Of the 10 patients in this study, seven (70%) had ECMO initiated at our hospital, of which six (60%) were catheterized in our intensive care unit (ICU) and one (10%) was transferred to ICU after catheterization in the emergency room
Summary
Extracorporeal membrane oxygenation (ECMO) is an extracorporeal life-support technology for patients suffering from refractory cardiac shock and/or respiratory failure. In ECMO, venous blood is oxygenated and pumped back into the patient’s vessels via a centrifugal pump located outside the body, in order to meet the body’s demands [1,2,3]. To best treat different conditions in patients, venoarterial (VA) and venovenous (VV) are the two basic types of ECMO, and these use different cannulation vessels. Some additional, modified types of ECMO are accepted because additional venous or arterial cannulation can help manage several clinical challenges. Previous cardiopulmonary resuscitation (CPR) is an indication for ECMO use because it allows patients to recovery from refractory cardiac arrest [7]. The aim of study was to summarize the clinical characteristics and experience of extracorporeal membrane oxygenation (ECMO) in pregnant and postpartum patients
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