To the Editor: Treatment of critically ill pregnant women is challenging, and information on medication use during pregnancy is scant. We describe the case of a pregnant woman who required extracorporeal membrane oxygenation (ECMO), prolonged sedation and paralysis to treat acute respiratory distress syndrome secondary to pandemic (H1N1) 2009 influenza.
The full article is accessible to AMA members and paid subscribers. Login to read more or purchase a subscription now.
Please note: institutional and Research4Life access to the MJA is now provided through Wiley Online Library.
- 1 St Vincent’s Hospital, Sydney, NSW.
- 2 NSW Medicines Information Centre, Sydney, NSW.
Correspondence: swelch@stvincents.com.au
- 1. Mangtani P, Mak T, Pfeifer D. Pandemic H1N1 infection in pregnant women in the USA. Lancet 2009; 374: 429-430.
- 2. King PT, Rosalion A, McMillan J, et al. ECMO in pregnancy. Lancet 2000; 356: 45-46.
- 3. Webb SA, Pettilä V, Seppelt I, et al. Critical care services and 2009 H1N1 influenza in Australia and New Zealand. N Engl J Med 2009; 361: 1925-1934.
- 4. Davies A, Jones D, Bailey M, et al. Extracorporeal membrane oxygenation for 2009 influenza A (H1N1) acute respiratory distress syndrome. JAMA 2009; 302: 1888-1895.
- 5. Peek G, Mugford M, Tiruvoipat R, et al. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet 2009; 374: 1351-1363.
Online responses are no longer available. Please refer to our instructions for authors page for more information.