Experience of using extracorporeal membrane oxygenation for total abruption of a normally located placenta in severe preeclampsia

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

INTRODUCTION: Premature abruption of a normally located placenta is a sudden and challenging problem to manage, and is a leading cause of maternal and perinatal mortality. Here, we reviewed the case of a pregnant woman with multiple organ failure and premature placental abruption involving the successful use of extracorporeal membrane oxygenation (ECMO) in the treatment of respiratory distress syndrome.

AIM: We aimed at assessing the feasibility of using ECMO in the treatment of severe lung damage in a patient with multiple organ failure.

CLINICAL CASE: We reviewed the clinical findings of the course of multiple organ failure and lung damage in a puerpera with severe preeclampsia. Moreover, we analyzed her life history, diseases, and diagnostic and treatment methods were analyzed.

The described clinical case shows the possibility of the successful use of ECMO in patients with severe lung damage and respiratory distress syndrome in multiple organ failure resulting from severe obstetric complications. Currently, this is the first case involving ECMO in the treatment of the consequences of acute total abruption of a normally located placenta with favorable outcomes in the Republic of Bashkortostan.

Full Text

Restricted Access

About the authors

Anna Yu. Lazareva

Bashkir State Medical University; G.G. Kuvatov Republican Clinical Hospital

Author for correspondence.
Email: lazarevaayu@mail.ru
ORCID iD: 0000-0002-8299-0268

postgraduate student, obstetrician-gynecologist

Russian Federation, Ufa; Ufa

Irina B. Fatkullina

Bashkir State Medical University; G.G. Kuvatov Republican Clinical Hospital

Email: fib1971@mail.ru
ORCID iD: 0000-0001-5723-2062

MD, Dr. Sci. (Med.), Professor

Russian Federation, Ufa; Ufa

Al’fiya G. Yashchuk

Bashkir State Medical University

Email: alfiya_galimovna@mail.ru
ORCID iD: 0000-0003-2645-1662

MD, Dr. Sci. (Med.), Professor

Russian Federation, Ufa

Konstantin N. Zolotukhin

Bashkir State Medical University; G.G. Kuvatov Republican Clinical Hospital

Email: lkbros5@mail.ru
ORCID iD: 0000-0002-6412-5262

MD, Cand. Sci. (Med.), Assistant Professor, Head of the Department

Russian Federation, Ufa; Ufa

References

  1. Filippov OS, Guseva EV. Maternal mortality in the Russian Federation in 2019. Russian Journal of Human Reproduction. 2020;26(6 Pt 2):826. (In Russ). doi: 10.17116/repro2020260628
  2. Ailamazyan EK, Serov VN, Radzinskii VE, Savel’eva GM, editors. Obstetrics. National leadership. Short Edition. Moscow: GEOTAR-Media; 2021. 608 p. (In Russ).
  3. Pasman NM, Chumanova OV. The role of thrombophilia in the premature detachment of a normally located placenta. Akusherstvo, ginekologiya i reproduktsiya. 2019;13(1):29–34. (In Russ). doi: 10.17749/2313- 7347.2019.13.1.029-034
  4. Minna Tikkanen. Placental abruption: epidemiology, risk factors and consequences. Acta Obstet Gynecol Scand. 2011;90(2):140–149. doi: 10.1111/j.1600-0412.2010.01030.x
  5. Savel’eva GM. Akusherstvo: natsional’noe rukovodstvo. 2nd edition, revised and expanded. Savel’eva GM, Sukhikh GT, Serov VN, Radzinskii VE, editors. Moscow: GEOTAR-Media; 2019. 1080 p. (In Russ).
  6. Radzinskii VE, Fuks AM, editors. Akusherstvo. Uchebnik. Moscow: GEOTAR-Media; 2021. 1020 p. (In Russ).
  7. World Health Organization. WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience. Geneva: World Health Organization; 2017. License: CC BY-NC-SA 3.0 IGO.
  8. Anselmi A, Ruggieri VG, Letheulle J, et al. Extracorporeal membrane oxygenation in pregnancy. J Card Surg. 2015;30(10):781–786. doi: 10.1111/jocs.12605
  9. Yaroshetsky AI, Gritsan AI, Avdeev SN, et al. Diagnostics and intensive therapy of Acute Respiratory Distress Syndrome (Clinical guidelines of the Federation of Anesthesiologists and Reanimatologists of Russia). Russian Journal of Anesthesiology and Reanimatology. 2020;(2):5–39. (In Russ). doi: 10.17116/anaesthesiology20200215
  10. Russian Society of Obstetrics and Gynecology, Russian Obstetrical Anesthesiologists and Intensivists Association, Federation of Anaesthesiologists and Reanimatologists. Profilaktika, algoritm vedeniya, anesteziya i intensivnaya terapiya pri poslerodovykh krovotecheniyakh. Klinicheskie rekomendatsii. Moscow: Ministry of Health of the Russian Federation; 2018. (In Russ).
  11. Fatkullina IB, Yashchuk AG, Fatkullina YN, Lazareva AY. Modern approaches to organ-conserving surgical hemostasis in obstetric bleeding. Journal of Obstetrics and Womens Diseases. 2021;70(3):115–120. (In Russ). doi: 10.17816/JOWD41753
  12. Kornelyuk RA, Shukevich DL. Extracorporeal membrane oxygenation in intensive care. Medicine in Kuzbass. 2016;15(4):3–8. (In Russ).
  13. Bakhtina TP, Gryadasov GL, Kovalev VV, Gorbachev VI. Pathophysiological Aspects of the Development of Respiratory Distress Syndrome in Pregnant Women with Preeclampsia. General Reanimatology. 2010;6(5):11. (In Russ). doi: 10.15360/1813-9779-2010-5-11

Supplementary files

Supplementary Files
Action
1. Fig. 1. Dynamics of changes in the pH of arterial blood of patient K. during extracorporeal membrane oxygenation.

Download (26KB)
2. Fig. 2. Dynamics of changes in the gas composition of arterial blood of patient K. during extracorporeal membrane oxygenation.

Download (80KB)
3. Fig. 3. Dynamics of changes in the biochemical parameters of the blood of patient K. during extracorporeal membrane oxygenation.

Download (77KB)
4. Fig. 4. Dynamics of changes in the fibrinogen content in the blood of patient K. during extracorporeal membrane oxygenation, g/l.

Download (49KB)
5. Fig. 5. Dynamics of changes in some indicators of the blood coagulogram of patient K. during extracorporeal membrane oxygenation.АЧТВ ― activated partial thromboplastin time, sec.; ПВ ― prothrombin time, sec.

Download (50KB)

Copyright (c) 2022 Eco-Vector



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ:
ПИ № ФС 77 - 56891 от 29.01.2014 г.  
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ:
ЭЛ № ФС 77 - 80633 от 15.03.2021 г.



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies