Successful management of intracranial hemorrhage with brain herniation in a postpartum patient on extracorporeal membranous oxygenation: A case report.
Jing WangLaith AltaweelMehul DesaiHeidi DaltonJessica BuchnerLucy Q ZhangPouya Tahsili-FahadanPublished in: Perfusion (2024)
Managing intracranial hemorrhage in patients supported by extracorporeal oxygenation (ECMO) presents significant clinical challenges. We report a case of a postpartum patient with severe acute respiratory distress syndrome (ARDS) necessitating venovenous ECMO support, complicated by multicompartmental intracranial hemorrhage resulting in brain herniation and necessitating emergent medical and surgical management of refractory intracranial hypertension. Care was guided by multimodal neuromonitoring, including intracranial pressure monitoring and electroencephalography. Despite these challenges, the patient achieved excellent neurological recovery. This case underscores the intricacies of managing neurological complications during ECMO and highlights the potential benefits of comprehensive neuromonitoring strategies.
Keyphrases
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation
- mechanical ventilation
- optic nerve
- case report
- respiratory failure
- end stage renal disease
- white matter
- resting state
- newly diagnosed
- blood pressure
- prognostic factors
- chronic kidney disease
- pain management
- palliative care
- functional connectivity
- risk factors
- peritoneal dialysis
- quality improvement
- risk assessment
- climate change
- chronic pain
- human health
- blood brain barrier