Skip to main content
. 2022 Oct 17;26:312. doi: 10.1186/s13054-022-04189-5

Table 2.

Patients’ ECMO management and in-ICU complications according to their pregnancy status on ECMO

All (N = 24) Ongoing pregnancy on ECMO (N = 11) Delivery before ECMO (N = 13) p
Type of ECMO support
Venovenous ECMO 22 (92) 10 (91) 12 (92) 0.90
Venoarterial ECMO 2 (8) 1 (9) 1 (8) 0.90
Switch from VV to VA 1 (4) 1 (9) 0 (0) 0.27
Switch from VV to V-AV 3 (13) 0 (0) 3 (23) 0.09
Switch from VA to VV 1 (4) 0 (0) 1 (8) 0.35
ECMO-related complications
Clogged circuit/membrane requiring a change 1 (4) 1 (9) 0 (0) 0.26
At least one circuit change 10 (42) 2 (18) 8 (62) 0.03
Major bleeding
Cannula bleeding 12 (50) 5 (45) 7 (54) 0.66
Obstetrical bleeding* 8 (33) 2 (18) 6 (46) 0.05
Number of RBC transfusions 7 (0–50) 7 (0–50) 7 (2–23) 0.11
Stroke 2 (8) 1 (9) 1 (8) 0.90
Pneumothorax on ECMO 8 (33) 2 (18) 6 (46) 0.14
Acute kidney injury
KDIGO ≥ 2 9 (38) 3 (27) 6 (46) 0.34
Renal replacement therapy 9 (38) 2 (18) 6 (46) 0.14
≥ 1 antibiotic-treated VAP 14 (58) 4 (36) 10 (77) 0.04
≥ 1 antibiotic-treated bacteremia episode(s) 8 (33) 0 (0) 8 (62) < 0.01
Tracheostomy 10 (42) 3 (27) 7 (54) 0.19
Tidal volume on ECMO Day 1, ml/kg PBW 3.2 (1.0–7.4) 3.1 (1.0–6.3) 3.2 (1.7–4.0) 0.93
On ECMO
Neuromuscular blockade 21 (88) 10 (91) 11 (85) 0.64
Prone positioning 8 (33) 3 (27) 5 (38) 0.56
Inhaled nitric oxide 3 (13) 1 (9) 2 (15) 0.64
Hypothermia 1 (4) 1 (9) 0 (0) 0.26
Beta-blockers 2 (8) 1 (9) 1 (8) 0.90
Antenatal corticosteroid therapy 14 (58) 7 (63) 7 (54) 0.68

Data are expressed as n (%) or median (range)

ECMO extracorporeal membrane oxygenation; ICU intensive care unit; VV venovenous; VA venoarterial; V-AV veno-arteriovenous; RBC red blood cells; KDIGO Kidney Disease Improving Global Outcomes; PBW Predicted Body Weight

*Uterine bleedings or abdominal parietal hematoma or hemoperitoneum