A successful cesarean section in a pregnant woman with A (H1N1) influenza requiring ECMO support.
A 24-year-old pregnant woman (29.4 weeks of gestation) with A (H1N1) influenza-associated adult respiratory distress syndrome was admitted to the intensive care unit. The patient was connected to femoral-jugular veno-venous extracorporeal membrane oxygenation (ECMO) 8 hours after admission. On the 7(th) day of ECMO support, due to the increasing threat to the life of the mother and the fetus, a decision was made to carry out a cesarean section (CS) without discontinuing the ECMO support. The CS was performed uneventfully under general anesthesia, 5 hours after the discontinuation of heparin infusion. A live, premature 1200 g female neonate was delivered. No complications occurred in the perioperative period. On the 17(th) day, the patient was successfully weaned off the ECMO and discharged 10 days later. The newborn was discharged from the hospital in good health 41 days after the delivery.
Department and Second Clinic of Anaesthesiology and Intensive Therapy, Medical University of Wroclaw, Poland.
Lidia
L
Łysenko
Department of General and Pediatric Radiology, Medical University of Wroclaw, Poland.
Urszula
U
Zaleska-Dorobisz
1 Department and Clinic of Gynecology and Obstetrics, Medical University of Wroclaw, Poland.
Radosław
R
Blok
Department and Clinic of Cardiac Surgery, Medical University of Wroclaw, Poland.
Andrzej
A
Dumański
Department and Second Clinic of Anaesthesiology and Intensive Therapy, Medical University of Wroclaw, Poland.
Marzena
M
Zielińska
Department and Clinic of Cardiac Surgery, Medical University of Wroclaw, Poland.
Wojciech
W
Kustrzycki
Department and Second Clinic of Anaesthesiology and Intensive Therapy, Medical University of Wroclaw, Poland.
Grażyna
G
Durek
ECMO; cesarean section; influenza; pregnancy