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Scientific paper - Case study
Life saving use of ECMO in an obstetric patient with massive hemorrhage following uterine atony: a case report
Signa vitae : journal for intesive care and emergency medicine, 12. (2016), 1.; 121-124. urn:nbn:hr:184:064021
Barbalić, Berislav; Sotošek Tokmadžić, Vlatka; Petrović, Oleg; Božanić Krička, Irena; Šustić, Alan

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Barbalić, B., Sotošek Tokmadžić, V., Petrović, O., Božanić Krička, I. & Šustić, A. (2016). Life saving use of ECMO in an obstetric patient with massive hemorrhage following uterine atony: a case report. Signa vitae : journal for intesive care and emergency medicine, 12.. (1.), 121-124. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:064021

Barbalić, Berislav, et al. "Life saving use of ECMO in an obstetric patient with massive hemorrhage following uterine atony: a case report." Signa vitae : journal for intesive care and emergency medicine, vol. 12., no. 1., 2016, pp. 121-124. https://urn.nsk.hr/urn:nbn:hr:184:064021

Barbalić, Berislav, Vlatka Sotošek Tokmadžić, Oleg Petrović, Irena Božanić Krička and Alan Šustić. "Life saving use of ECMO in an obstetric patient with massive hemorrhage following uterine atony: a case report." Signa vitae : journal for intesive care and emergency medicine 12., no. 1. (2016): 121-124. https://urn.nsk.hr/urn:nbn:hr:184:064021

Barbalić, B., et al. (2016) 'Life saving use of ECMO in an obstetric patient with massive hemorrhage following uterine atony: a case report', Signa vitae : journal for intesive care and emergency medicine, 12.(1.), pp. 121-124. Available at: https://urn.nsk.hr/urn:nbn:hr:184:064021 (Accessed 25 January 2025)

Barbalić B, Sotošek Tokmadžić V, Petrović O, Božanić Krička I, Šustić A. Life saving use of ECMO in an obstetric patient with massive hemorrhage following uterine atony: a case report. Signa vitae : journal for intesive care and emergency medicine [Internet]. 2016 [cited 2025 January 25];12.(1.):121-124. Available at: https://urn.nsk.hr/urn:nbn:hr:184:064021

B. Barbalić, V. Sotošek Tokmadžić, O. Petrović, I. Božanić Krička and A. Šustić, "Life saving use of ECMO in an obstetric patient with massive hemorrhage following uterine atony: a case report", Signa vitae : journal for intesive care and emergency medicine, vol. 12., no. 1., pp. 121-124, 2016. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:064021. [Accessed: 25 January 2025]

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Metadata
Title (english)Life saving use of ECMO in an obstetric patient with massive hemorrhage following uterine atony: a case report
AuthorBerislav Barbalić
AuthorVlatka Sotošek Tokmadžić
AuthorOleg Petrović
AuthorIrena Božanić Krička
AuthorAlan Šustić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Anaesthesiology,reanimatology and Intensive Care)
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Gynaecology and Obstetrics)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Intensive Care
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract (english)
The aim of this case report is to present the life saving use of extracorporeal membrane oxygenation (ECMO) in an obstetric patient with acute cardiorespiratory collapse following massive bleeding caused by an atonic uterus post partum. A 39-year-old patient, following a spontaneous abortion at 21 weeks of pregnancy, developed uterine atony and massive bleeding and was ultimately referred to the operating room for an emergent hysterectomy. Postoperatively, she was referred to the intensive care unit (ICU) where she developed severe acute respiratory distress syndrome (ARDS) that was successfully treated by employing ECMO. Following discontinuation of ECMO, her treatment was further complicated by a manifest hemolytic transfusion reaction. Although extensive testing was done to establish the cause of this reaction, we were unable to find it. The patient responded well to treatment with erythropoietin (EPO) and corticosteroids as well as a restrictive transfusion regime. This treatment pointed to a possible immune reaction to massive transfusions of blood products. This case demonstrated the importance of early aggressive treatment using ECMO in reversal of life threatening ARDS, as well as the need for a judicious approach when transfusing blood products.
Keywords (english)
Languageenglish
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleSigna vitae : journal for intesive care and emergency medicine
Numberingvol. 12., no. 1., pp. 121-124
p-ISSN1334-5605
e-ISSN1845-206X
URN:NBNurn:nbn:hr:184:064021
Publication2016
Document URLhttps://hrcak.srce.hr/170204
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2022-02-25 08:07:43