| Title: |
ECMO for the pregnant and peripartum patient: A practical review of indications, unique management considerations, and an approach framework. |
| Authors: |
Hrymak, Carmen S.; Labib, Ahmed; Akkanti, Bindu; Antonini, Marta V; Bruggeman, Bradley; Griffee, Matthew J; Heinsar, Silver; Jacobs, Jeffrey P; Larzelere, Michelle; Naoum, Emily; O'Neil, Erika; Roussos-Ross, Dikea; Zaaqoq, Akram M; Peek, Giles J; Arora, Rakesh C |
| Source: |
Perfusion; Nov2025, Vol. 40 Issue 8, p1727-1742, 16p |
| Subject Terms: |
ADULT respiratory distress syndrome treatment; ANTICOAGULANTS; MEDICAL protocols; PULMONARY embolism; CARDIOGENIC shock; EXTRACORPOREAL membrane oxygenation; LABOR complications (Obstetrics); CATASTROPHIC illness; PREGNANT women; PATIENT care; OXYGENATORS; MATERNAL mortality; DECISION making in clinical medicine; LIFE support systems in critical care; FETAL monitoring; CONCEPTUAL structures; FETAL heart rate; CARDIOVASCULAR diseases in pregnancy; CRITICAL care medicine; PERINATAL period; HEALTH care teams; MEDICAL ethics; COVID-19 pandemic; AMNIOTIC fluid embolism; PREGNANCY |
| Abstract: |
The use of extracorporeal membrane oxygenation (ECMO) to support the pregnant patient and fetus requires a complex decision-making process. Peripartum ECMO requires coordinated and informed decision-making between an interdisciplinary team of experts, incorporating the unique considerations and, at times, competing physiologic priorities of the pregnant patient. It is often confounded by a scarcity of local relevant experience engendered by its rare occurrence. No event has made the need for an organized approach to the utilization of ECMO in pregnant patients more pressing than the COVID pandemic. The conditions affecting pregnant patients that warrant ECMO consideration are high stakes and, at times, ethically challenging, although outcomes are favourable compared to the general population. This review provides background information and context, followed by a practical approach to the care and specific medical management of patients who are facing life-threatening conditions warranting ECMO while pregnant. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |