• Obstetrics and gynecology · Oct 2018

    Case Reports

    Successful Use of Extracorporeal Membrane Oxygenation for Status Asthmaticus in a Woman With a Periviable Pregnancy.

    • Caitlin Clifford, Mohak Mhatre, and Sabrina Craigo.
    • Department of Obstetrics and Gynecology and the Division of Maternal-Fetal Medicine, Tufts Medical Center, Boston, Massachusetts.
    • Obstet Gynecol. 2018 Oct 1; 132 (4): 1007-1010.

    BackgroundStatus asthmaticus is a severe asthma exacerbation with persistent airway obstruction despite standard therapy. Use of extracorporeal membrane oxygenation (ECMO) as rescue therapy in pregnancy is exceedingly rare. We describe a case of ECMO for treatment of status asthmaticus in woman with a periviable pregnancy culminating in a term delivery.CaseThe patient was a 33-year-old woman, gravida 3 para 1, admitted at 23 2/7 weeks of gestation with respiratory failure secondary to status asthmaticus. Venovenous ECMO was initiated and continued for 6 days. After hospital discharge, she had no further respiratory issues. She ultimately developed fetal growth restriction and gestational hypertension and underwent a repeat cesarean delivery at 38 weeks of gestation.ConclusionVenovenous ECMO can be used successfully for status asthmaticus during a periviable pregnancy and enable delivery at term.

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