ECMO: a lifesaving modality in ARDS during puerperium

Sunil K. Juneja; Pooja Tandon; Vivek Gupta; Gurpreet S. Wander; Rajesh Mahajan; Akashdeep Singh; Reetika Aggarwal; Monika Narang; Suhasini Raina

doi:10.18203/2320-1770.ijrcog20184168

Authors

Sunil K. Juneja Department of Obstetrics and Gynecology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
Pooja Tandon Department of Obstetrics and Gynecology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
Vivek Gupta Department of Cardiology, HDHI, Ludhiana, Punjab, India
Gurpreet S. Wander Department of Cardiology, HDHI, Ludhiana, Punjab, India
Rajesh Mahajan Department of Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
Akashdeep Singh Department of Pulmonology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
Reetika Aggarwal Department of Obstetrics and Gynecology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
Monika Narang Department of Obstetrics and Gynecology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
Suhasini Raina Department of Obstetrics and Gynecology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20184168

Keywords:

ARDS, ECMO, Puerperium

Abstract

Acute respiratory distress syndrome (ARDS) is an uncommon condition encountered in pregnancy. The incidence of ARDS in pregnancy has been reported to be 1 in 6229 deliveries with mortality rates to range from 24% to 39% in pregnant patients. An essential component in management of ARDS involves good communication between the obstetrics team and critical care specialist and a fundamental understanding of mechanical ventilatory support. In critically ill patients where both cardiorespiratory support is required, Extracorporeal Membrane Oxygenation (ECMO) can be used to help maintain the vital functions. ECMO is a temporary cardio respiratory or respiratory support in critically ill patients who are unresponsive to conventional management. In present case a young female with post-partum ARDS was successfully managed with extra corporeal membrane oxygenation (ECMO).

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