title: Adult respiratory distress syndrome caused by 2009 H1N1 influenza during pregnancy: success of ECMO for both the mother and the child.
abstract: Extracorporeal membrane oxygenation (ECMO) is a technique that provides support to selected patients with severe respiratory failure. During the 2009 H1N1 influenza infection outbreak, ECMO was used with a good impact on survival for pregnant women, who are at higher risk of H1N1 influenza infection. However, there is little information about the survival of fetus post-ECMO therapy in the literature. We present a case report of a pregnant patient with severe adult respiratory distress syndrome secondary to 2009 H1N1 influenza treated with ECMO. The outcome was good both for the mother and her fetus. At 1-year follow-up, her child had no neurological or clinical abnormalities. We conclude that ECMO can be used safely during pregnancy with a good neurological and clinical outcome for the fetus.
authors.affiliation: Department of Cardiovascular Intensive Care Unit, Cliniques Universitaires St. Luc, Brussels, Belgium. patricia_courouble@yahoo.fr
authors.forename: Patricia
authors.initials: P
authors.lastname: Courouble
authors.forename: Paul
authors.initials: P
authors.lastname: Geukens
authors.forename: Fatima
authors.initials: F
authors.lastname: Laarbaui
authors.forename: Christophe
authors.initials: C
authors.lastname: Beauloye
authors.forename: Olivier
authors.initials: O
authors.lastname: Van Caenegem
authors.forename: Luc-Marie
authors.initials: LM
authors.lastname: Jacquet
mesh_terms: D000998:Antiviral Agents / Q000627:therapeutic use; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D053139:Oseltamivir / Q000627:therapeutic use; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000628:therapy* / Q000821:virology; D012128:Respiratory Distress Syndrome / Q000601:surgery / Q000628:therapy* / Q000821:virology; D016896:Treatment Outcome
chemical_list: D000998:Antiviral Agents; D053139:Oseltamivir