pregnancy

ECMO in pregnancy

 

A 36-year-old woman presented to urgent care with cough, dyspnea and hypoxemia. She was transported to the ED where she rapidly progressed to severe ARDS despite lung protective ventilation, paralysis and inhaled epoprostenol. Post-intubation, it was determined that she was pregnant with ultrasound revealing a fetus at 23 weeks, 6 days gestational age. She underwent cannulation for venovenous ECMO. What is the role of ECMO in the pregnant patient? A recently published analysis of the ELSO registry for peripartum patients supported with ECMO demonstrates a 70 percent survival rate. 

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Advanced Practice: Supportive Management of Critical Illness in Pregnancy

The nurse calls you to the room of a 34 year old crashing patient....and she happens to be pregnant.  Here are the pearls for resuscitation and management of the critically ill pregnant patient. 

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Advanced Practice: Linear Probe for Indeterminate 1st Trimester Transabdominal Ultrasound

Not quite seeing that crisp yolk sac on traditional trans-abdominal ultrasound imaging with the curvilinear probe? Click ahead for a cool trick to avoid breaking out the trans-vaginal probe!

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Advanced Practice: Post Partum Hemorrhage

Delivering a baby in the emergency department is far from ideal and although all usually goes well, you need to be prepared in case it doesn’t. Shoulder dystocia gets a lot of hype because of those fancy corkscrew maneuvers, so instead of that we’re going to talk about another dreaded complication, post-partum hemorrhage.

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