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Heart Lung . First successful treatment of a COVID-19 pregnant woman with severe ARDS by combining early mechanical ventilation and ECMO

tetano

Editor, Senior Moderator
Heart Lung


. 2020 Aug 21;S0147-9563(20)30359-9.
doi: 10.1016/j.hrtlng.2020.08.015. Online ahead of print.
First successful treatment of a COVID-19 pregnant woman with severe ARDS by combining early mechanical ventilation and ECMO


Liusheng Hou[SUP] 1 [/SUP], Mingxing Li[SUP] 1 [/SUP], Kai Guo[SUP] 1 [/SUP], Weijia Wang[SUP] 2 [/SUP], Binfei Li[SUP] 3 [/SUP], Jianwei Li[SUP] 3 [/SUP], Yong Yuan[SUP] 4 [/SUP]



Affiliations

Abstract

The novel coronavirus (COVID-19) has become a global pandemic outbreak. Patients with COVID-19 are prone to progress to acute respiratory distress syndrome (ARDS), and even severe ARDS with ineffective mechanical ventilation, and an extremely high mortality. Extracorporeal membrane oxygenation (ECMO) provides effective respiratory support and saves time for the treatment of severe COVID-19. The present study reports that a 31-year-old pregnant female infected by COVID-19, who suffered from fever, dyspnea, and rapid ARDS. The patient's pulmonary function gradually recovered by combining early mechanical ventilation and ECMO, and finally, this patient was successfully weaned from ECMO and the ventilator. No fibrosis lesions were found in the chest CT, and the patient recovered very well after leaving from the hospital for one month.

Keywords: ARDS; COVID-19; ECMO; Mechanical ventilation; Prgnance.
 
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