Continuous venous hemodialysis integrated to the ECMO circuit in critically ill patient with COVID-19, a case report in Morocco.

Autor:	Mounir A; Department of Anesthesia and Critical Care, Ibn Rochd University Hospital Center, Casablanca, Morocco., Lamghari S; Department of Anesthesia and Critical Care, Ibn Rochd University Hospital Center, Casablanca, Morocco., Raja A; Department of Anesthesia and Critical Care, Ibn Rochd University Hospital Center, Casablanca, Morocco., Allali K; Department of Anesthesia and Critical Care, Ibn Rochd University Hospital Center, Casablanca, Morocco., Chebbar S; Department of Anesthesia and Critical Care, Ibn Rochd University Hospital Center, Casablanca, Morocco., Buri B; Department of Anesthesia and Critical Care, Ibn Rochd University Hospital Center, Casablanca, Morocco., Mahdar Y; Department of Anesthesia and Critical Care, Ibn Rochd University Hospital Center, Casablanca, Morocco., Kettani CE; Department of Anesthesia and Critical Care, Ibn Rochd University Hospital Center, Casablanca, Morocco., Ramdani B; Department of Nephrology And Hemodialysis, Ibn Rochd University Hospital Center, Casablanca, Morocco., Ettaoumi Y; Department Of Cardiovascular Surgery, Ibn Rochd University Hospital Center, Casablanca, Morocco., Benouna G; Department of Cardiology, Ibn Rochd University Hospital Center, Casablanca, Morocco., Barrou L; Department of Anesthesia and Critical Care, Ibn Rochd University Hospital Center, Casablanca, Morocco.
Jazyk:	angličtina
Zdroj:	The Pan African medical journal [Pan Afr Med J] 2020 Aug 10; Vol. 35 (Suppl 2), pp. 141. Date of Electronic Publication: 2020 Aug 10 (Print Publication: 2020).
DOI:	10.11604/pamj.supp.2020.35.141.25332
Abstrakt:	Novel coronavirus 2019 (COVID-19) is a severe respiratory infection leading to acute respiratory distress syndrome [ARDS] accounting for thousands of cases and deaths across the world. Several alternatives in treatment options have been assessed and used in this patient population. However, when mechanical ventilation and prone positioning are unsuccessful, venovenous extracorporeal membrane oxygenation [VV-ECMO] may be used. We present a case of a 62-year-old female, diabetic, admitted to the intensive care unit with fever, flu-like symptoms and a positive COVID-19 test. Ultimately, she worsened on mechanical ventilation and prone positioning and required VV-ECMO. The use of VV-ECMO in COVID-19 infected patients is still controversial. While some studies have shown a high mortality rate despite aggressive treatment, such as in our case, the lack of large sample size studies and treatment alternatives places healthcare providers against a wall without options in patients with severe refractory ARDS due to COVID-19. Competing Interests: The authors declare no competing interests. (Copyright: Anass Mounir et al.)
Databáze:	MEDLINE
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