tetano
Editor, Senior Moderator
Front Med (Lausanne)
. 2021 Dec 24;8:714387.
doi: 10.3389/fmed.2021.714387. eCollection 2021.
Case Report: Respiratory Management With a 47-Day ECMO Support for a Critical Patient With COVID-19
Wen Xu[SUP] 1 [/SUP], Ruoming Tan[SUP] 1 [/SUP], Jie Huang[SUP] 1 [/SUP], Shuai Qin[SUP] 1 [/SUP], Jing Wu[SUP] 1 [/SUP], Yuzhen Qiu[SUP] 1 [/SUP], Simin Xie[SUP] 2 [/SUP], Yan Xu[SUP] 3 [/SUP], Ying Du[SUP] 1 [/SUP], Feng Li[SUP] 4 [/SUP], Bailing Li[SUP] 5 [/SUP], Yingchuan Li[SUP] 6 [/SUP], Yuan Gao[SUP] 7 [/SUP], Xin Li[SUP] 8 [/SUP], Hongping Qu[SUP] 1 [/SUP]
Affiliations
Abstract
This paper reports a complete case of severe acute respiratory distress syndrome (ARDS) caused by coronavirus disease 2019 (COVID-19), who presented with rapid deterioration of oxygenation during hospitalization despite escalating high-flow nasal cannulation to invasive mechanical ventilation. After inefficacy with lung-protective ventilation, positive end-expiratory pressure (PEEP) titration, prone position, we administered extracorporeal membrane oxygenation (ECMO) as a salvage respiratory support with ultra-protective ventilation for 47 days and finally discharged the patient home with a good quality of life with a Barthel Index Score of 100 after 76 days of hospitalization. The purpose of this paper is to provide a clinical reference for the management of ECMO and respiratory strategy of critical patients with COVID-19-related ARDS.
Keywords: ARDS; COVID-19; ECMO; critical care; mechanical ventilation.
. 2021 Dec 24;8:714387.
doi: 10.3389/fmed.2021.714387. eCollection 2021.
Case Report: Respiratory Management With a 47-Day ECMO Support for a Critical Patient With COVID-19
Wen Xu[SUP] 1 [/SUP], Ruoming Tan[SUP] 1 [/SUP], Jie Huang[SUP] 1 [/SUP], Shuai Qin[SUP] 1 [/SUP], Jing Wu[SUP] 1 [/SUP], Yuzhen Qiu[SUP] 1 [/SUP], Simin Xie[SUP] 2 [/SUP], Yan Xu[SUP] 3 [/SUP], Ying Du[SUP] 1 [/SUP], Feng Li[SUP] 4 [/SUP], Bailing Li[SUP] 5 [/SUP], Yingchuan Li[SUP] 6 [/SUP], Yuan Gao[SUP] 7 [/SUP], Xin Li[SUP] 8 [/SUP], Hongping Qu[SUP] 1 [/SUP]
Affiliations
- PMID: 35004711
- PMCID: PMC8739513
- DOI: 10.3389/fmed.2021.714387
Abstract
This paper reports a complete case of severe acute respiratory distress syndrome (ARDS) caused by coronavirus disease 2019 (COVID-19), who presented with rapid deterioration of oxygenation during hospitalization despite escalating high-flow nasal cannulation to invasive mechanical ventilation. After inefficacy with lung-protective ventilation, positive end-expiratory pressure (PEEP) titration, prone position, we administered extracorporeal membrane oxygenation (ECMO) as a salvage respiratory support with ultra-protective ventilation for 47 days and finally discharged the patient home with a good quality of life with a Barthel Index Score of 100 after 76 days of hospitalization. The purpose of this paper is to provide a clinical reference for the management of ECMO and respiratory strategy of critical patients with COVID-19-related ARDS.
Keywords: ARDS; COVID-19; ECMO; critical care; mechanical ventilation.