Delivery of a Healthy Baby from a Brain-Dead Woman After 117 Days of Somatic Support: A Case Report

18 May 2021: Articles

Management of emergency care, Rare disease

Roman Gal ^A , Iveta Zimova ^A , Helena Antoni ^A , Petra Minarcikova ^A , Pavel Ventruba ^A , Lukas Hruban ^A , Ondrej Hrdy ^A*

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	–