COVID-19-Related Acute Respiratory Distress Syndrome in a Pregnant Woman Supported on ECMO: The Juxtaposition of Bleeding in a Hypercoagulable State
- Resource Type
- Authors
- Eyad Althenayan; Hend Sallam; Mohsen Khalil; Abid Butt; Eiad Kseibi; Manal Alhazza
- Source
- Membranes
Membranes, Vol 11, Iss 544, p 544 (2021)
- Subject
- ARDS
Coronavirus disease 2019 (COVID-19)
medicine.drug_class
medicine.medical_treatment
Filtration and Separation
Case Report
TP1-1185
030204 cardiovascular system & hematology
coagulopathy
03 medical and health sciences
0302 clinical medicine
Chemical engineering
pregnant
Extracorporeal membrane oxygenation
medicine
Coagulopathy
Chemical Engineering (miscellaneous)
Mechanical ventilation
Disseminated intravascular coagulation
business.industry
Process Chemistry and Technology
Chemical technology
COVID-19
Muscle relaxant
medicine.disease
surgical procedures, operative
030228 respiratory system
Anesthesia
Gestation
TP155-156
ECMO
business
- Language
- English
- ISSN
- 2077-0375
A 40-year-old pregnant woman at 28 weeks of gestation was diagnosed with severe acute respiratory failure syndrome (ARDS) due to coronavirus disease 2019 (COVID-19). She had severe hypoxemia despite the use of mechanical ventilation and muscle relaxant infusion. Veno-venous extracorporeal membrane oxygenation (VV-ECMO) was used, and she had a cesarian section while on ECMO support. She developed disseminated intravascular coagulation (DIC) with overt bleeding. This was managed by a multidisciplinary team (MDT) and a change of the ECMO circuit resulted in a dramatic improvement of her coagulation profile. Both the mother and the baby were discharged and went home in good condition.