Somatic Support with Veno-venous ECMO in a Pregnant Woman with Brain Death: A Case Report

Leonardo Salazar; Lovkesh Arora; Maria Botia; Maria Azucena Niño; Antonio Figueredo; Jorge Alvarado; Norma Serrano; Carlos Riaño; Camilo Pizarro

doi:10.1097/MAT.0000000000001411

Somatic Support with Veno-venous ECMO in a Pregnant Woman with Brain Death: A Case Report

Leonardo Salazar, Lovkesh Arora, Maria Botia, Maria Azucena Niño, Antonio Figueredo, Jorge Alvarado, Norma Serrano, Carlos Riaño, Camilo Pizarro

Research output: Articles / Notes › Scientific Article › peer-review

2 Scopus citations

Abstract

Supporting homeostasis in a pregnant woman with brain death to achieve fetal viability is called somatic support. We present a case of young pregnant woman at 21 weeks' gestation who developed acute respiratory distress syndrome secondary to influenza A H2N3 infection requiring veno-venous extracorporeal membrane oxygenation (VV ECMO) support for refractory hypoxemia. The clinical course was complicated by intracranial hemorrhage and subsequent brain death. After multidisciplinary team discussion with her family, consensus was reached to continue somatic support with VV ECMO to enable fetal development to attain extrauterine viability. The challenging clinical, ethical, and legal concerns are discussed.

Original language	English
Pages (from-to)	E16-E18
Journal	ASAIO Journal
Volume	68
Issue number	1
DOIs	https://doi.org/10.1097/MAT.0000000000001411
State	Published - 1 Jan 2022
Externally published	Yes

Keywords

Brain death in pregnancy
Ethical challenges with somatic support
Extracorporeal membrane oxygenation (ECMO) in pregnancy
Panhypopituitarism
Somatic support
Viable gestational age

Access to Document

10.1097/MAT.0000000000001411

Cite this

@article{34da423df0964e0ba4ae610718950d1c,

title = "Somatic Support with Veno-venous ECMO in a Pregnant Woman with Brain Death: A Case Report",

abstract = "Supporting homeostasis in a pregnant woman with brain death to achieve fetal viability is called somatic support. We present a case of young pregnant woman at 21 weeks' gestation who developed acute respiratory distress syndrome secondary to influenza A H2N3 infection requiring veno-venous extracorporeal membrane oxygenation (VV ECMO) support for refractory hypoxemia. The clinical course was complicated by intracranial hemorrhage and subsequent brain death. After multidisciplinary team discussion with her family, consensus was reached to continue somatic support with VV ECMO to enable fetal development to attain extrauterine viability. The challenging clinical, ethical, and legal concerns are discussed.",

keywords = "Brain death in pregnancy, Ethical challenges with somatic support, Extracorporeal membrane oxygenation (ECMO) in pregnancy, Panhypopituitarism, Somatic support, Viable gestational age",

author = "Leonardo Salazar and Lovkesh Arora and Maria Botia and Ni{\~n}o, {Maria Azucena} and Antonio Figueredo and Jorge Alvarado and Norma Serrano and Carlos Ria{\~n}o and Camilo Pizarro",

note = "Publisher Copyright: {\textcopyright} ASAIO 2021",

year = "2022",

month = jan,

day = "1",

doi = "10.1097/MAT.0000000000001411",

language = "Ingl{\'e}s",

volume = "68",

pages = "E16--E18",

journal = "ASAIO Journal",

issn = "1058-2916",

publisher = "Lippincott Williams and Wilkins",

number = "1",

}

TY - JOUR

T1 - Somatic Support with Veno-venous ECMO in a Pregnant Woman with Brain Death

T2 - A Case Report

AU - Salazar, Leonardo

AU - Arora, Lovkesh

AU - Botia, Maria

AU - Niño, Maria Azucena

AU - Figueredo, Antonio

AU - Alvarado, Jorge

AU - Serrano, Norma

AU - Riaño, Carlos

AU - Pizarro, Camilo

N1 - Publisher Copyright: © ASAIO 2021

PY - 2022/1/1

Y1 - 2022/1/1

N2 - Supporting homeostasis in a pregnant woman with brain death to achieve fetal viability is called somatic support. We present a case of young pregnant woman at 21 weeks' gestation who developed acute respiratory distress syndrome secondary to influenza A H2N3 infection requiring veno-venous extracorporeal membrane oxygenation (VV ECMO) support for refractory hypoxemia. The clinical course was complicated by intracranial hemorrhage and subsequent brain death. After multidisciplinary team discussion with her family, consensus was reached to continue somatic support with VV ECMO to enable fetal development to attain extrauterine viability. The challenging clinical, ethical, and legal concerns are discussed.

AB - Supporting homeostasis in a pregnant woman with brain death to achieve fetal viability is called somatic support. We present a case of young pregnant woman at 21 weeks' gestation who developed acute respiratory distress syndrome secondary to influenza A H2N3 infection requiring veno-venous extracorporeal membrane oxygenation (VV ECMO) support for refractory hypoxemia. The clinical course was complicated by intracranial hemorrhage and subsequent brain death. After multidisciplinary team discussion with her family, consensus was reached to continue somatic support with VV ECMO to enable fetal development to attain extrauterine viability. The challenging clinical, ethical, and legal concerns are discussed.

KW - Brain death in pregnancy

KW - Ethical challenges with somatic support

KW - Extracorporeal membrane oxygenation (ECMO) in pregnancy

KW - Panhypopituitarism

KW - Somatic support

KW - Viable gestational age

UR - http://www.scopus.com/inward/record.url?scp=85122733904&partnerID=8YFLogxK

U2 - 10.1097/MAT.0000000000001411

DO - 10.1097/MAT.0000000000001411

M3 - Artículo Científico

C2 - 33709988

AN - SCOPUS:85122733904

SN - 1058-2916

VL - 68

SP - E16-E18

JO - ASAIO Journal

JF - ASAIO Journal

IS - 1

ER -

Somatic Support with Veno-venous ECMO in a Pregnant Woman with Brain Death: A Case Report

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this