COVID-19 patient bridged to recovery with veno-venous extracorporeal membrane oxygenation.
J Card Surg
; 35(10): 2869-2871, 2020 Oct.
Article
en En
| MEDLINE
| ID: mdl-32668041
ABSTRACT
BACKGROUND:
In severe cases, the coronavirus disease 2019 (COVID-19) viral pathogen produces hypoxic respiratory failure unable to be adequately supported by mechanical ventilation. The role of extracorporeal membrane oxygenation (ECMO) remains unknown, with the few publications to date lacking detailed patient information or management algorithms all while reporting excessive mortality.METHODS:
Case report from a prospectively maintained institutional ECMO database for COVID-19.RESULTS:
We describe veno-venous (VV) ECMO in a COVID-19-positive woman with hypoxic respiratory dysfunction failing mechanical ventilation support while prone and receiving inhaled pulmonary vasodilator therapy. After 9 days of complex management secondary to her hyperdynamic circulation, ECMO support was successfully weaned to supine mechanical ventilation and the patient was ultimately discharged from the hospital.CONCLUSIONS:
With proper patient selection and careful attention to hemodynamic management, ECMO remains a reasonable treatment option for patients with COVID-19.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neumonía Viral
/
Insuficiencia Respiratoria
/
Oxigenación por Membrana Extracorpórea
/
Infecciones por Coronavirus
/
Recuperación de la Función
/
Betacoronavirus
Tipo de estudio:
Etiology_studies
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Card Surg
Asunto de la revista:
CARDIOLOGIA
Año:
2020
Tipo del documento:
Article