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Extracorporeal membrane oxygenation for coronavirus disease 2019-associated acute respiratory distress syndrome: Report of two cases and review of the literature.
Wen, Jun-Lin; Sun, Qi-Zhe; Cheng, Zhou; Liao, Xiao-Zu; Wang, Li-Qiang; Yuan, Yong; Li, Jian-Wei; Hou, Liu-Sheng; Gao, Wen-Jun; Wang, Wei-Jia; Soh, Wei-Yan; Li, Bin-Fei; Ma, Da-Qing.
Afiliación
  • Wen JL; Department of Anaesthesiology, Zhongshan People's Hospital, Zhongshan 528403, Guangdong Province, China.
  • Sun QZ; Department of Surgery and Cancer, Imperial College London, London SW10 9NH, United Kingdom.
  • Cheng Z; Department of Anaesthesiology, Zhongshan People's Hospital, Zhongshan 528403, Guangdong Province, China.
  • Liao XZ; Department of Anaesthesiology, Zhongshan People's Hospital, Zhongshan 528403, Guangdong Province, China.
  • Wang LQ; Department of Anaesthesiology, Zhongshan People's Hospital, Zhongshan 528403, Guangdong Province, China.
  • Yuan Y; Cardiovascular Centre, Zhongshan People's Hospital, Zhongshan 528403, Guangdong Province, China.
  • Li JW; Department of Intensive Medicine, Zhongshan People's Hospital, Zhongshan 528403, Guangdong Province, China.
  • Hou LS; Cardiovascular Centre, Zhongshan People's Hospital, Zhongshan 528403, Guangdong Province, China.
  • Gao WJ; Department of Hepatology, The Second People's Hospital of Zhongshan, Zhongshan 528447, Guangdong Province, China.
  • Wang WJ; Laboratory Diagnosis Centre, Zhongshan People's Hospital, Zhongshan 528403, Guangdong Province, China.
  • Soh WY; Faculty of Medicine, Ewcastle University Medicine Malaysia, Johor 79200, Malaysia.
  • Li BF; Department of Anaesthesiology, Zhongshan People's Hospital, Zhongshan 528403, Guangdong Province, China. libf@zsph.com.
  • Ma DQ; Department of Surgery and Cancer, Imperial College London, London SW10 9NH, United Kingdom.
World J Clin Cases ; 9(8): 1953-1967, 2021 Mar 16.
Article en En | MEDLINE | ID: mdl-33748247
BACKGROUND: Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus-2, is a worldwide pandemic. Some COVID-19 patients develop severe acute respiratory distress syndrome and progress to respiratory failure. In such cases, extracorporeal membrane oxygenation (ECMO) treatment is a necessary life-saving procedure. CASE SUMMARY: Two special COVID-19 cases-one full-term pregnant woman and one elderly (72-year-old) man-were treated by veno-venous (VV)-ECMO in the Second People's Hospital of Zhongshan, Zhongshan City, Guangdong Province, China. Both patients had developed refractory hypoxemia shortly after hospital admission, despite conventional support, and were therefore managed by VV-ECMO. Although both experienced multiple ECMO-related complications on top of the COVID-19 disease, their conditions improved gradually. Both patients were weaned successfully from the ECMO therapy. At the time of writing of this report, the woman has recovered completely and been discharged from hospital to home; the man remains on mechanical ventilation, due to respiratory muscle weakness and suspected lung fibrosis. As ECMO itself is associated with various complications, it is very important to understand and treat these complications to achieve optimal outcome. CONCLUSION: VV-ECMO can provide sufficient gas exchange for COVID-19 patients with acute respiratory distress syndrome. However, it is crucial to understand and treat ECMO-related complications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: World J Clin Cases Año: 2021 Tipo del documento: Article País de afiliación: China

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: World J Clin Cases Año: 2021 Tipo del documento: Article País de afiliación: China
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