SCCM Resource Library-ECMO for the COVID-19 Pregnant Patient

Video Transcription

Video Summary

Dr. Ali Tabatabai discusses the use of ECMO (extracorporeal membrane oxygenation) in pregnant patients with COVID-related cardiopulmonary failure. He explains the selection criteria, management considerations, and outcomes for these patients. The use of ECMO in pregnant patients with COVID ARDS (acute respiratory distress syndrome) follows standard inclusion criteria, with adjustments to contraindications. The management of these patients includes cannulation strategies, pulmonary management, hematologic and hemodynamic recommendations, and general management. Dr. Tabatabai also highlights the outcomes data for pregnant patients receiving ECMO. A meta-analysis of pre-COVID data shows a high maternal survival rate, while a retrospective cohort study during the COVID pandemic indicates higher survival in pregnant patients compared to non-pregnant patients. He also presents case series that demonstrate successful outcomes in pregnant patients supported on ECMO for COVID ARDS. Dr. Tabatabai emphasizes the need for individualized patient care, considering the unique challenges and circumstances of pregnant patients with COVID-related cardiopulmonary failure.

Asset Subtitle

Procedures, Obstetrics, Infection, 2022

Asset Caption

Treatment of COVID-19 respiratory failure presents unique challenges that are further deepened by the physiologic changes of pregnancy. This session will discuss management of the pregnant patient with COVID-19.

Meta Tag

Content Type Presentation

Knowledge Area Procedures

Knowledge Area Obstetrics

Knowledge Area Infection

Knowledge Level Advanced

Learning Pathway Cardiothoracic Critical Care

Membership Level Select

Tag Extracorporeal Membrane Oxygenation ECMO

Tag Maternal Fetal Medicine

Tag COVID-19

Tag Cardiothoracic Critical Care

Year 2022

Keywords

ECMO

pregnant patients

COVID-related cardiopulmonary failure

selection criteria

management considerations

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