Use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure

Use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure

Abstract Although extracorporeal membrane oxygenation (ECMO) is increasingly utilized, only a limited level of experience has been reported in postpartum cardiopulmonary failure. Ten critically ill postpartum patients who received ECMO were included between January 2010 and December 2018 in this ret...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Ryoung-Eun Ko, Chi Ryang Chung, Jeong Hoon Yang, Kyeongman Jeon, Gee Young Suh, Soo-young Oh, Suk-Joo Choi, Ji-Hyuk Yang, Kiick Sung, Yang Hyun Cho
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
Materias:
Medicine
R
Science
Q
Acceso en línea:https://doaj.org/article/958c2e16eb66472c83ba7889f769515a
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:958c2e16eb66472c83ba7889f769515a
record_format dspace
spelling oai:doaj.org-article:958c2e16eb66472c83ba7889f769515a2021-12-02T14:12:48ZUse of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure10.1038/s41598-020-80423-w2045-2322https://doaj.org/article/958c2e16eb66472c83ba7889f769515a2021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-80423-whttps://doaj.org/toc/2045-2322Abstract Although extracorporeal membrane oxygenation (ECMO) is increasingly utilized, only a limited level of experience has been reported in postpartum cardiopulmonary failure. Ten critically ill postpartum patients who received ECMO were included between January 2010 and December 2018 in this retrospective observational study. The main indication for ECMO support was peripartum cardiomyopathy (n = 5), followed by postpartum hemorrhage (n = 2). Nine patients initially received veno-arterial ECMO, and one patient received veno-venous ECMO. Major bleeding occurred in six patients. The median number of units of red blood cells (RBC) transfused during ECMO was 14.5 units (interquartile range 6.8–37.8 units), and most RBC transfusions occurred on the first day of ECMO. The survival-to-discharge rate was 80%. Compared to the survival outcomes in female patients of similar age who received ECMO, the survival outcomes were significantly better in the study population (56% versus 80%, P = 0.0004). Despite the high risk of major bleeding, ECMO for patients with postpartum cardiac or respiratory failure showed excellent survival outcomes. ECMO is feasible in these patients and can be carried out with good outcomes in an experienced centre.Ryoung-Eun KoChi Ryang ChungJeong Hoon YangKyeongman JeonGee Young SuhSoo-young OhSuk-Joo ChoiJi-Hyuk YangKiick SungYang Hyun ChoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ryoung-Eun Ko
Chi Ryang Chung
Jeong Hoon Yang
Kyeongman Jeon
Gee Young Suh
Soo-young Oh
Suk-Joo Choi
Ji-Hyuk Yang
Kiick Sung
Yang Hyun Cho
Use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure
description Abstract Although extracorporeal membrane oxygenation (ECMO) is increasingly utilized, only a limited level of experience has been reported in postpartum cardiopulmonary failure. Ten critically ill postpartum patients who received ECMO were included between January 2010 and December 2018 in this retrospective observational study. The main indication for ECMO support was peripartum cardiomyopathy (n = 5), followed by postpartum hemorrhage (n = 2). Nine patients initially received veno-arterial ECMO, and one patient received veno-venous ECMO. Major bleeding occurred in six patients. The median number of units of red blood cells (RBC) transfused during ECMO was 14.5 units (interquartile range 6.8–37.8 units), and most RBC transfusions occurred on the first day of ECMO. The survival-to-discharge rate was 80%. Compared to the survival outcomes in female patients of similar age who received ECMO, the survival outcomes were significantly better in the study population (56% versus 80%, P = 0.0004). Despite the high risk of major bleeding, ECMO for patients with postpartum cardiac or respiratory failure showed excellent survival outcomes. ECMO is feasible in these patients and can be carried out with good outcomes in an experienced centre.
format article
author Ryoung-Eun Ko
Chi Ryang Chung
Jeong Hoon Yang
Kyeongman Jeon
Gee Young Suh
Soo-young Oh
Suk-Joo Choi
Ji-Hyuk Yang
Kiick Sung
Yang Hyun Cho
author_facet Ryoung-Eun Ko
Chi Ryang Chung
Jeong Hoon Yang
Kyeongman Jeon
Gee Young Suh
Soo-young Oh
Suk-Joo Choi
Ji-Hyuk Yang
Kiick Sung
Yang Hyun Cho
author_sort Ryoung-Eun Ko
title Use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure
title_short Use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure
title_full Use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure
title_fullStr Use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure
title_full_unstemmed Use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure
title_sort use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/958c2e16eb66472c83ba7889f769515a
work_keys_str_mv AT ryoungeunko useofextracorporealmembraneoxygenationinpostpartumpatientswithrefractoryshockorrespiratoryfailure
AT chiryangchung useofextracorporealmembraneoxygenationinpostpartumpatientswithrefractoryshockorrespiratoryfailure
AT jeonghoonyang useofextracorporealmembraneoxygenationinpostpartumpatientswithrefractoryshockorrespiratoryfailure
AT kyeongmanjeon useofextracorporealmembraneoxygenationinpostpartumpatientswithrefractoryshockorrespiratoryfailure
AT geeyoungsuh useofextracorporealmembraneoxygenationinpostpartumpatientswithrefractoryshockorrespiratoryfailure
AT sooyoungoh useofextracorporealmembraneoxygenationinpostpartumpatientswithrefractoryshockorrespiratoryfailure
AT sukjoochoi useofextracorporealmembraneoxygenationinpostpartumpatientswithrefractoryshockorrespiratoryfailure
AT jihyukyang useofextracorporealmembraneoxygenationinpostpartumpatientswithrefractoryshockorrespiratoryfailure
AT kiicksung useofextracorporealmembraneoxygenationinpostpartumpatientswithrefractoryshockorrespiratoryfailure
AT yanghyuncho useofextracorporealmembraneoxygenationinpostpartumpatientswithrefractoryshockorrespiratoryfailure
_version_ 1718391739755003904

Ejemplares similares