Table 2 ECMO management, in ICU complications, and outcomes of patients with amniotic fluid embolism rescued by VA-ECMO
From: Amniotic fluid embolism rescued by venoarterial extracorporeal membrane oxygenation
N = 10 | |
|---|---|
Before ICU peri-delivery hemorrhage | 10 (100) |
Red blood cell transfusion, units | 13 (4–32) |
Fresh frozen plasma transfusion, units | 13 (4–37) |
Platelet transfusion, units | 5 (0–30) |
Fibrinogen administration, g | 8 (0–18) |
Hemostatic procedure | 7 (70) |
Surgical hysterectomy | 5 (50) |
Triple ligature | 1 (10) |
Selective arterial embolization | 1 (10) |
ECMO | |
Pre-ECMO inotropic score, μg/kg/min | 370 (55–1530) |
Pre-ECMO lactate, mmol/L | 12 (2–30) |
Pre-ECMO left ventricular function, % | 14 (0–40) |
ECMO duration, days | 4 (1–6) |
Levosimendan during ECMO | 1 (10) |
ECMO-related complication | 5 (50) |
Pericardial tamponade | 1 (10) |
Intracranial hemorrhage | 1 (10) |
Acute leg ischemia | 2 (20) |
In-ICU | |
Acute kidney injury ≥ KDIGO 3 | 8 (80) |
Renal replacement therapy | 7 (70) |
Acute liver failure (i.e., SOFA liver ≥ 2) | 5 (50) |
Red blood cell transfusion, units | 6 (0–19) |
Fresh frozen plasma transfusion, units | 9 (0–49) |
Platelet transfusion, units | 13 (0–75) |
At least one ventilator associated pneumonia | 3 (30) |
Outcomes | |
ECMO duration, days | 4 (1–6) |
In survivors, days | 4 (3–6) |
Inotrope duration, days | 5 (1–8) |
Mechanical ventilation duration, days | 5 (1–13) |
In survivors, days | 6 (2–13) |
ICU length of stay, days | 12 (1–25) |
In survivors, days | 16 (5–25) |
Maternal survival at ICU discharge | 7 (70) |
Infant survival | 10 (100) |