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Respirol Case Rep . Prone position ventilation and femoro-femoral veno-venous extracorporeal membrane oxygenation for COVID-19 treatment

tetano

Editor, Senior Moderator
Respirol Case Rep


. 2020 Dec 15;9(1):e00700.
doi: 10.1002/rcr2.700. eCollection 2021 Jan.
Prone position ventilation and femoro-femoral veno-venous extracorporeal membrane oxygenation for COVID-19 treatment


Akiko Maeda[SUP] 1 [/SUP], Daijiro Nabeya[SUP] 1 [/SUP], Hiroaki Nagano[SUP] 1 [/SUP], Nobuhito Yagi[SUP] 2 [/SUP], Tadayoshi Miyagi[SUP] 2 [/SUP], Tomoo Kishaba[SUP] 1 [/SUP]



Affiliations

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes coronavirus disease 2019 (COVID-19), has resulted in significant morbidity and mortality worldwide. Approximately 5% of COVID-19 patients who suffer from pneumonia develop critical respiratory failure. Here, we report the case of a healthy 52-year-old man who had respiratory failure owing to SARS-CoV-2 infection and was treated using femoro-femoral veno-venous extracorporeal membrane oxygenation (VV-ECMO) and prone position ventilation (PPV). After this treatment, his blood oxygen levels, chest high-resolution computed tomography findings, and clinical parameters significantly improved. He was decannulated from VV-ECMO on day 6 and finally extubated on day 11. To our knowledge, this is the first reported case of SARS-CoV-2-associated acute respiratory distress syndrome that was successfully treated with a combination of femoro-femoral VV-ECMO and PPV.

Keywords: Acute respiratory distress syndrome; COVID‐19; extracorporeal membrane oxygenation; prone position.
 
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