SCCM Resource Library-ECMO During Pregnancy

Video Transcription

Video Summary

Dr. Emily Nahum, a critical care physician and obstetric anesthesiologist, discusses the use of ECMO (extracorporeal membrane oxygenation) in pregnant women. Peripartum ECMO is a rare but important treatment option for pregnant patients with severe respiratory or cardiac failure. The use of ECMO in pregnancy has increased significantly over the past decade, especially during the H1N1 pandemic. Pregnant patients requiring ECMO are often healthier than non-pregnant patients and have different indications, such as ARDS, hypertensive disorders, and amniotic fluid embolism. Maternal physiological changes during pregnancy must be taken into account when managing these patients. ECMO support should aim to maintain adequate oxygenation and fetal wellbeing. The survival rates for peripartum patients on ECMO are higher than in the general adult population, although bleeding and thrombotic complications are slightly increased in this group. Future research aims to create a centralized registry of peripartum ECMO patients and explore the concept of anticipated ECMO for high-risk individuals.

Asset Subtitle

Procedures, Obstetrics, 2022

Asset Caption

Extracorporeal life support (ECLS) has been established as an advanced therapeutic alternative for respiratory failure, cardiogenic shock, and failure to wean off cardiopulmonary bypass. With a global increase in expertise, extracorporeal membrane oxygenation (ECMO) and other ECLS options have been explored in other patients’ indications. This session aims to increase understanding of future possibilities and indications for ECMO and ECLS toward improving individual outcomes.

Meta Tag

Content Type Presentation

Knowledge Area Procedures

Knowledge Area Obstetrics

Knowledge Level Advanced

Learning Pathway Cardiothoracic Critical Care

Membership Level Select

Tag Extracorporeal Membrane Oxygenation ECMO

Tag Maternal Fetal Medicine

Tag Cardiothoracic Critical Care

Year 2022

Keywords

ECMO

peripartum ECMO

pregnant patients

respiratory failure

cardiac failure

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