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Case Report
Management of severe acute respiratory distress syndrome in a pregnant patient due to COVID-19 with ECMO
1 MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA
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Jonathan A Alter
Anesthesiology, 2500 MetroHealth Dr., Cleveland, OH 44019,
USA
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Article ID: 100168Z08MF2024
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How to cite this article
Fuhrmann ME, Samoon Q, Fuhrmann KA, Platten M, Alter JA. Management of severe acute respiratory distress syndrome in a pregnant patient due to COVID-19 with ECMO. J Case Rep Images Obstet Gynecol 2024;10(1):6–10.ABSTRACT
SARS-CoV-2 has become a devastating upper respiratory tract infection that may progress to severe acute respiratory distress syndrome (ARDS) which may cause long-term disability or even death. The severity of this disease has warranted intubation with ventilatory support, extracorporeal membrane oxygenation (ECMO), and lung transplantation in certain patient populations. Extracorporeal membrane oxygenation has been demonstrated and used as a treatment for severe ARDS due to COVID in various patient populations, with limited guidance in multiparous patients. This case report may be used as a guide to use ECMO in pregnant patients as patients of all demographics, including pregnant patients, are affected by COVID-19. Herein, we describe the management of a multiparous patient at 25 weeks gestational age who developed severe ARDS after COVID-19 infection, was subsequently taken to the operating room for cesarean section, and placed on ECMO with initial improvement in ventilation, oxygenation, and hemodynamics prior to transfer to a facility with capabilities to maintain patients on ECMO.
Keywords: Acute respiratory distress syndrome, COVID-19, ECMO, Pregnancy
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Acknowledgments
The authors are grateful to Luis Tollinche, MD, FASA, Department Chair of Anesthesiology, Case Western School of Medicine at MetroHealth Medical Center, Cleveland, OH for his support, critical review of the case report, and significant editorial assistance. The authors also thank Jessie Ciccarelli for providing a wonderful drawing for our case report.
Author ContributionsMeaghan E Fuhrmann - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Quratulain Samoon - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kurt A Fuhrmann - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Michael Platten - Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jonathan A Alter - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Meaghan E Fuhrmann et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
