18 May 2021
: Case report 
Delivery of a Healthy Baby from a Brain-Dead Woman After 117 Days of Somatic Support: A Case Report
Management of emergency care, Rare disease
Roman Gal1ACDE, Iveta Zimova1ABCDF, Helena Antoni1ABCDEF, Petra Minarcikova1AB, Pavel Ventruba2ADF, Lukas Hruban2ABD, Ondrej Hrdy1ABCDEF*DOI: 10.12659/AJCR.930926
Am J Case Rep 2021; 22:e930926
Table 1. Summary of organ support and monitoring.
| Organ system | Parameter | Assessment | Intervention | |
|---|---|---|---|---|
| The woman | Cardiovascular | Blood pressure, heart rate | Continuous | Fluids if considered hypovolemic, inotropes otherwise, preferentially dopamine |
| Respiratory | Blood gas analysis | 3 times a day | Lung protective mechanical ventilation, set to keep blood gases in normal range | |
| Gastrointestinal/nutrition | Growth of the fetusTotal serum protein, albumin and prealbuminSerum vitamin D levels | Once a weekOnce a weekOnce a week | Gradual increase of the dose of nutritionGradual increase of the dose of nutritionSubstitution to keep serum level in normal range | |
| Renal | Serum ions/urine specific gravity | 3 times a day/in case of polyuria | Substitution, desmopressin in case of polyuria | |
| Endocrine | Serum hormone levels (thyroxine, cortisol) | Once a week | Substitution to keep serum levels in normal range | |
| The fetus | Cardiovascular | Cardiotocography | Twice a day | – |
| Fetal growth | Ultrasound biometry | Once a week | – | |
| Organ development malformation | Ultrasound | Once a week | – |