Urgent Extracorporeal Membrane Oxygenation Support Immediately after Cesarean Section Delivery in a Witnessed Cardiopulmonary Collapse Eclamptic Parturient

10.6966/EDMJ.202409_11(3).0006

Wei-Chin Chen；Hsuan-Yin Wu；Yun-Hsiang Hung；Kuang-Yao Li

pregnancy ； acute pulmonary edema ； extracorporeal membrane oxygenation ； acute cardiopulmonary collapse ； cesarean section

E-Da Medical Journal

11卷3期（2024 / 09 / 01）

37 - 41

英文

The incidence of acute pulmonary edema is relatively low during pregnancy and in the postpartum period. In this report, we discuss a highly urgent case of a severely hypertensive parturient who collapsed in the emergency room (ER) before the diagnosis of acute medical problems. A 36-year-old patient initially presented with dyspnea when arriving at the ER and eventually developed a productive cough with pink frothy sputum, tonic-clonic seizure, and circulatory collapse. The infant was delivered via cesarean section by the perioperative team after a few cycles of cardiopulmonary resuscitation. The mother was supported by postpartum venovenous extracorporeal membrane oxygenation (VV-ECMO) owing to acute pulmonary edema and impaired gas exchange. The newborn and mother were discharged without any sequelae after two weeks of hospital care. Early activation of the perioperative care team is essential to enhance maternal and neonatal survival in pregnant women with acute cardiopulmonary collapse.