Positive contribution of timely diagnosis and correction of adrenal dysfunction requiring extracorporeal membrane oxygenation in patients with severe pneumonia in the early postpartum period

Introduction. The main diagnoses leading to the use of ECMO in pregnant women and the postpartum period are acute respiratory failure (62.7%). Adrenal dysfunction due to critical illness (CAD) often determines the severity of the patient's condition and the outcome of their illness.

Aim. Timely detection and adequate correction of CAD in women in labor using ECMO.

Materials and methods. A patient after delivery with community-acquired severe bilateral polysegmental pneumonia who required the use of ECMO. Results. Against the background of combined treatment with norepinephrine and hydrocortisone, early stabilization of hemodynamics and septic complications was achieved.

Conclusions. CAD is characterized by vascular insufficiency requiring the use of vasopressors. Timely and adequate correction of adrenal dysfunction during the development of a critical condition makes it possible to reduce the severity of the intensive care patient’s condition and improve the outcome.

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