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Somatic Support with Veno-venous ECMO in a Pregnant Woman with Brain Death: A Case Report. | LitMetric

AI Article Synopsis

  • Somatic support refers to maintaining homeostasis in a pregnant woman with brain death to ensure fetal viability.
  • A case is presented involving a 21-week-pregnant woman who developed respiratory distress due to influenza A, necessitating VV ECMO support after she suffered brain death from intracranial hemorrhage.
  • A multidisciplinary team decided to continue somatic support to allow the fetus to develop to a stage where it could survive outside the womb, raising complex clinical, ethical, and legal issues.

Article Abstract

Supporting homeostasis in a pregnant woman with brain death to achieve fetal viability is called somatic support. We present a case of young pregnant woman at 21 weeks' gestation who developed acute respiratory distress syndrome secondary to influenza A H2N3 infection requiring veno-venous extracorporeal membrane oxygenation (VV ECMO) support for refractory hypoxemia. The clinical course was complicated by intracranial hemorrhage and subsequent brain death. After multidisciplinary team discussion with her family, consensus was reached to continue somatic support with VV ECMO to enable fetal development to attain extrauterine viability. The challenging clinical, ethical, and legal concerns are discussed.

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Source
http://dx.doi.org/10.1097/MAT.0000000000001411DOI Listing

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