Experience of Veno-venous Extracorporeal Membrane Oxygenation in a Pregnant Woman With Severe Acute Respiratory Distress Syndrome Caused by the SARSCoV-2 Virus
M. A. Kurtser,
E. I. Spiridonova,
S. V. Tsarenko,
P. M. Bagdasaryan,
E. A. Baranova,
A. V. Oskolkov,
A. V. Grapova,
O. G. Arguzova,
Yu. Yu. Kutakova,
Yu. O. Shapovalova,
D. V. Yeremin,
M. V. Antonets,
A. V. Panin,
N. V. Petrovskaya,
I. V. Platitsyn,
A. G. Serobyan,
G. D. Shulyak https://doi.org/10.23934/2223-9022-2021-10-3-460-468
Abstract
Pregnant women occupy a special place in the incidence structure of the new coronavirus infection COVID -19. Taking into account the likelihood of a more severe course of acute respiratory syndrome (ARDS) in this group, it is worth remembering the possibility of timely use of veno-venous extracorporeal membrane oxygenation (IV ECMO) in order to correct life-threatening hypoxia. At the Lapino Clinical Hospital, a cesarean section was successfully performed in a 37-year-old female patient at 20–21 weeks of gestation against the background of IV ECMO with further decannulation and discharge from the hospital.
About the Authors
M. A. Kurtser
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies;
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Member of the Russian Academy of Sciences, Doctor of Medical Sciences, General Director; Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
1 Ostrovitanova St., Moscow 117997, Russian Federation
E. I. Spiridonova
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Candidate of Medical Sciences, Obstetrician and Gynecologist, Chief Physician
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
S. V. Tsarenko
City Clinical Hospital No. 52 of the Moscow Health Department
Russian Federation
Russian Federation
Doctor of Medical Sciences, professor, Anesthesiologist-Resuscitator of the Highest Qualification Category, Deputy Chief Physician for Anesthesiology and Resuscitation
3 Pehotnaya St., Moscow 123182, Russian Federation
P. M. Bagdasaryan
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Anesthesiologist-Resuscitator, Deputy Chief Physician for Anesthesiology and Resuscitation
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
E. A. Baranova
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Resident in obstetrics and gynecology at the BSMU on the basis
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
A. V. Oskolkov
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Anesthesiologist-Resuscitator
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
A. V. Grapova
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Doctor of Functional Diagnostics
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
O. G. Arguzova
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Internal Medicine Specialist
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
Yu. Yu. Kutakova
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Candidate of Medical Sciences, Medical Director for Organizational, Scientific and Educational Work
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
Yu. O. Shapovalova
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Obstetrician-Gynecologist
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
D. V. Yeremin
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Transfusiologist
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
M. V. Antonets
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Anesthesiologist-Resuscitator, Head of the Department of Anesthesiology and Resuscitation
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
A. V. Panin
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Candidate of Medical Sciences, Surgeon, Deputy Chief Physician for the Surgical Department
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
N. V. Petrovskaya
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Head of the Therapy Department
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
I. V. Platitsyn
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Candidate of Medical Sciences, Head of the Department of Radiation Diagnostics
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
A. G. Serobyan
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Russian Federation
Russian Federation
Obstetrician-Gynecologist, Head of the Obstetric Observational Department
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
G. D. Shulyak
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies;
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Candidate of Medical Sciences, Surgeon; Assistant of the Department of Faculty Surgery No. Pirogov
111 Uspenskoe Hwy, Moscow Region, Lapino 143030, Russian Federation
1 Ostrovitanova St., Moscow 117997, Russian Federation
References
1. WHO Coronavirus (COVID-19) Dashboard. Available at: https://covid19.who.int/ [Accessed 23 Aug 2021]
2. National Health Commission of the People’s Republic of China. Diagnosis and Treatment Protocol for COVID-19 (Trial Version 7) Available at: http://en.nhc.gov.cn/2020-03/29/c_78469.htm [Accessed 23 Aug 2021]
3. Zambrano LD, Ellington S, Strid P, Galang RR, Oduyebo T, Van Tong T, et al. Update: Characteristics of Symptomatic Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status – United States, January 22-October 3, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(44):1641–1647. PMID: 33151921 https://doi.org/10.15585/mmwr.mm6944e3
4. Knight M, Bunch K, Vousden N, Morris E, Simpson N, Gale Ch, et al. Characteristics and outcomes of pregnant women admitted to hospital with confirmed SARS-CoV-2 infection in UK: national population based cohort study. BMJ. 2020;369: m2107. PMID: 32513659 https://doi.org/10.1136/bmj.m2107
5. Allotey J, Stallings E, Bonet M, Yap M, Chatterjee S, Kew T, et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis. BMJ. 2020;370:m3320. PMID: 32873575 https://doi.org/10.1136/bmj.m3320
6. Cunningham FG, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, et al. Maternal Physiology. Williams Obstetrics, 25e. New York, NY: McGraw-Hill Education; 2018.
7. Sun P, Qie S, Liu Z, Ren J, Li K, Xi J. Clinical characteristics of hospitalized patients with SARS-CoV-2 infection: A single arm metaanalysis. J Med Virol. 2020;92(6):612-617. PMID: 32108351 https://doi.org/10.1002/jmv.25735
8. Catanzarite V, Willms D, Wong D, Landers C, Cousins L, Schrimmer D. Acute respiratory distress syndrome in pregnancy and the puerperium: causes, courses, and outcomes. Obstet Gynecol. 2001;97(5Pt1):760–764. PMID: 11339930 https://doi.org/10.1016/s0029-7844(00)01231-x
9. Denney JM, Nelson EL, Wadhwa PD, Waters TP, Mathew L, Chung EK, et al. Longitudinal modulation of immune system cytokine profile during pregnancy. Cytokine. 2011;53(2):170–177. https://doi.org/10.1016/j.cyto.2010.11.005
10. Kumru S, Boztosun A, Godekmerdan A. Pregnancy-associated changes in peripheral blood lymphocyte subpopulations and serum cytokine concentrations in healthy women. J Reprod Med. 2005;50(4):246–250. PMID: 15916207
11. Combes A, Hajage D, Capellier G, et al. Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome. N Engl J Med. 2018;378(21):1965–1975. https://doi.org/10.1056/NEJMoa1800385
12. Extracorporeal Life Support Organization (ELSO). World’s Largest Registry of ECMO and ECLS Centers. Available at: https://www.elso.org [Accessed 23 Aug 2021]
13. Barbaro RP, MacLaren G, Boonstra PS, Iwashyna TJ, Slutsky AS, Fan E, et al. Extracorporeal membrane oxygenation support in COVID-19: an international cohort study of the Extracorporeal Life Support Organization registry. Lancet. 2020;396(10257):1071–1078. PMID: 32987008 https://doi.org/10.1016/S0140-6736(20)32008-0
14. Naoum EE, Chalupka A, Haft J, MacEachern M, Vandeven CJM, Easter SR, et al. Extracorporeal Life Support in Pregnancy: A Systematic Review. J Am Heart Assoc. 2020;9(13):e016072. PMID: 32578471 https://doi.org/10.1161/JAHA.119.016072
15. Skopets AA, Zharov AS, Potapov SI, Afonin ES, Andreeva MD, Galdina TV, et al. The first case of Cesarean section in a pregnant woman during extracorporeal membrane oxygenation (ECMO) in Russia. Annals of Critical Care. 2019;3:90–97. https://doi.org/10.21320/1818-474X-2019-3-90-97
Review
For citations:
Kurtser M.A., Spiridonova E.I., Tsarenko S.V., Bagdasaryan P.M., Baranova E.A., Oskolkov A.V., Grapova A.V., Arguzova O.G., Kutakova Yu.Yu., Shapovalova Yu.O., Yeremin D.V., Antonets M.V., Panin A.V., Petrovskaya N.V., Platitsyn I.V., Serobyan A.G., Shulyak G.D. Experience of Veno-venous Extracorporeal Membrane Oxygenation in a Pregnant Woman With Severe Acute Respiratory Distress Syndrome Caused by the SARSCoV-2 Virus. Russian Sklifosovsky Journal "Emergency Medical Care". 2021;10(3):460-468. https://doi.org/10.23934/2223-9022-2021-10-3-460-468
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