Interdisciplinary Peripartum Management of Acute Respiratory Distress Syndrome with Extracorporeal Membrane Oxygenation – a Case Report and Literature Review

Abstract

Extracorporeal membrane oxygenation (ECMO) is increasingly used for the management of acute severe cardiac and respiratory failure. One of the indications is acute respiratory distress syndrome (ARDS) for which, in some severe cases, ECMO represents the only possibility to save lives. We report on the successful long-term use of ECMO in a postpartum patient with recurrent pulmonary decompensation after peripartum uterine rupture with extensive blood loss.

Zusammenfassung

Extrakorporale Membranoxygenierung (ECMO) wird immer häufiger für das Management von schwerem Herz- und Lungenversagen eingesetzt. Das schwere akute Atemnotsyndrom (SARS) kann dafür ursächlich sein. In besonders schweren Fällen stellt die ECMO die einzige Möglichkeit dar, Leben zu retten. Wir berichten hier über den erfolgreichen postpartalen Einsatz von ECMO bei einer Patientin mit rekurrierender pulmonaler Dekompensation nach Uterusruptur mit schwerem Blutverlust während der Geburt.

Key words

ECMO - ARDS - uterine rupture - vaginal birth after 2 Caesarean sections - TRALI - SIRS

Schlüsselwörter

ECMO - SARS - Uterusruptur - vaginale Entbindung nach 2 Kaiserschnitten - TRALI - SIRS

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