Successful Treatment of Pregnant and Postpartum Women With Severe COVID-19 Associated Acute Respiratory Distress Syndrome With Extracorporeal Membrane Oxygenation

Jairo H Barrantes; Jamel Ortoleva; Erika R O'Neil; Erik E Suarez; Sharon Beth Larson; Aniket S Rali; Cara Agerstrand; Lorenzo Grazioli; Subhasis Chatterjee; Marc Anders

doi:10.1097/MAT.0000000000001357

Successful Treatment of Pregnant and Postpartum Women With Severe COVID-19 Associated Acute Respiratory Distress Syndrome With Extracorporeal Membrane Oxygenation

ASAIO J. 2021 Feb 1;67(2):132-136. doi: 10.1097/MAT.0000000000001357.

Authors

Affiliations

¹ From the Division of Pulmonary, Critical Care and Sleep Medicine, Baylor College of Medicine, Houston, Texas.
² Department of Anesthesiology and Perioperative Medicine, Tufts Medical Center, Boston, Massachusetts.
³ Department of Pediatrics (Critical Care), Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
⁴ Department of Cardiovascular Surgery, DeBakey Heart and Vascular Center, Houston Methodist, Houston, Texas.
⁵ Department of Surgery and the Division of Cardiothoracic Surgery, University of Iowa, Iowa City, Iowa.
⁶ Division of Pulmonary, Allergy and Critical Care Medicine, Columbia University College of Physicians and Surgeons/NewYork-Presbyterian Hospital, New York, New York.
⁷ Department of Anesthesia and Intensive Care, ASST Papa Giovanni, Bergamo, Italy.
⁸ Department of Surgery, Baylor St Luke's Medical Center, Baylor College of Medicine, Houston, Texas.

Abstract

There are limited data on the use of extracorporeal membrane oxygenation (ECMO) for pregnant and peripartum women with COVID-19 associated acute respiratory distress syndrome (ARDS). Pregnant women may exhibit more severe infections with COVID-19, requiring intensive care. We supported nine pregnant or peripartum women with COVID-19 ARDS with ECMO, all surviving and suffering no major complications from ECMO. Our case series demonstrates high-maternal survival rates with ECMO support in the management of COVID-19 associated severe ARDS, highlighting that these pregnant and postpartum patients should be supported with ECMO during this pandemic.

MeSH terms

Adult
COVID-19 / complications*
Critical Care
Extracorporeal Membrane Oxygenation*
Female
Humans
Postpartum Period
Pregnancy
Respiratory Distress Syndrome / etiology
Respiratory Distress Syndrome / therapy*
SARS-CoV-2
Survival Rate
Young Adult