COVID-19-Related Acute Respiratory Distress Syndrome in a Pregnant Woman Supported on ECMO: The Juxtaposition of Bleeding in a Hypercoagulable State
Autor: | Eyad Althenayan, Hend Sallam, Mohsen Khalil, Abid Butt, Eiad Kseibi, Manal Alhazza |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
ARDS
Coronavirus disease 2019 (COVID-19) medicine.drug_class medicine.medical_treatment Filtration and Separation Case Report TP1-1185 030204 cardiovascular system & hematology coagulopathy 03 medical and health sciences 0302 clinical medicine Chemical engineering pregnant Extracorporeal membrane oxygenation medicine Coagulopathy Chemical Engineering (miscellaneous) Mechanical ventilation Disseminated intravascular coagulation business.industry Process Chemistry and Technology Chemical technology COVID-19 Muscle relaxant medicine.disease surgical procedures operative 030228 respiratory system Anesthesia Gestation TP155-156 ECMO business |
Zdroj: | Membranes Membranes, Vol 11, Iss 544, p 544 (2021) |
ISSN: | 2077-0375 |
Popis: | A 40-year-old pregnant woman at 28 weeks of gestation was diagnosed with severe acute respiratory failure syndrome (ARDS) due to coronavirus disease 2019 (COVID-19). She had severe hypoxemia despite the use of mechanical ventilation and muscle relaxant infusion. Veno-venous extracorporeal membrane oxygenation (VV-ECMO) was used, and she had a cesarian section while on ECMO support. She developed disseminated intravascular coagulation (DIC) with overt bleeding. This was managed by a multidisciplinary team (MDT) and a change of the ECMO circuit resulted in a dramatic improvement of her coagulation profile. Both the mother and the baby were discharged and went home in good condition. |
Databáze: | OpenAIRE |
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