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

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3 Citas (Scopus)

Resumen

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.

Idioma original	Inglés
Páginas (desde-hasta)	E16-E18
Publicación	ASAIO Journal
Volumen	68
N.º	1
DOI	https://doi.org/10.1097/MAT.0000000000001411
Estado	Publicada - 1 ene. 2022
Publicado de forma externa	Sí

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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.",

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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

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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.

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KW - Ethical challenges with somatic support

KW - Extracorporeal membrane oxygenation (ECMO) in pregnancy

KW - Panhypopituitarism

KW - Somatic support

KW - Viable gestational age

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

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