Maternal Medicine

Question 1

Respiratory Indications for ECMO

Answer 1

ARDS
Pneumonia (infectious/aspiration/interstitial)
Severe asthma
Thoracic trauma causing lung contusion
Alveolar or pulmonary haemorrhage
Severe inhalation injury
Air leak syndromes (bronchopleural fistula)
Acute airway obstruction
Lung transplant

Question 2

Cardiac indications for ECMO

Answer 2

Acute MI
Myocarditis
Cardiac arrest
Post heart transplant
Post cardiotomy
Hypothermia with cardiac instability
Postpartum acute cardiomyopathy
Drug intoxication
Septic cardiomyopathy
Arrhythmic storm
Interventional cardiac procedures

Question 3

When to consider ECMO

Answer 3

When estimated mortality is in excess of 50-80% despite optimal medical management

Question 4

Complications of ECMO

Answer 4

Intracranial haemorrhage
DIC
HIT
Bleeding

Question 5

Hypertrophic cardiomyopathy incidence

Answer 5

0.1-0.5% of women

Question 6

Symptoms/signs of hypertrophic cardiomyopathy

Answer 6

Syncope
Chest pain
Ejection systolic murmur
Pan-systolic murmur
Heart failure
Arrhythmias

Question 7

Treatment of hypertrophic cardiomyopathy in pregnancy

Answer 7

B-blockers