Mobile ECMO in COVID-19 patient: case report

Autor: Martínez Daniela, Iñiguez Jose, Salech Felipe, Sint Jan Van Nicolette, Durán Luisa, Fajardo Christian, Regueira Tomás, Rufs Jorge, Díaz Rodrigo, Villalabeitia Eli, Castillo Roberto
Rok vydání: 2020
Předmět:
medicine.medical_specialty
ARDS
Coronavirus disease 2019 (COVID-19)
medicine.medical_treatment
0206 medical engineering
Biomedical Engineering
Medicine (miscellaneous)
Case Report
02 engineering and technology
Acute respiratory distress
030204 cardiovascular system & hematology
Hypoxemia
Biomaterials
03 medical and health sciences
0302 clinical medicine
Extracorporeal Membrane Oxygenation
Personal protective equipment
medicine
Extracorporeal membrane oxygenation
Humans
Mechanical ventilation
Respiratory Distress Syndrome
business.industry
COVID-19
Middle Aged
medicine.disease
020601 biomedical engineering
Cardiac surgery
surgical procedures
operative
Treatment Outcome
Emergency medicine
Critical illness
Mobile ECMO
Female
medicine.symptom
ECMO
business
Cardiology and Cardiovascular Medicine
Zdroj: Journal of Artificial Organs
ISSN: 1619-0904
Popis: At July 25, 2020, WHO had recorded more than 16.1 million confirmed COVID-19 cases, 1% of them developed critical illness. These patients can experience rapid progression to profound hypoxemia and severe acute respiratory distress syndrome (ARDS). Some patients, despite receiving lung-protective ventilation and maximal medical therapy, develop refractory hypoxemia, rendering candidates for extracorporeal membrane oxygenation (ECMO) support. Centers with experience in this technique are available only in a few reference hospitals and some patients are too ill to be transferred with conventional mechanical ventilation so they need mobile ECMO (interhospital transport under ECMO). Here we report the first interhospital extracorporeal membrane oxygenation transport of a COVID-19 patient in Chile, showing that it is feasible and safe to transfer a COVID-19 patient under ECMO support if a mobile ECMO program is correctly implemented and the particularities of protective measures are properly taken.
Databáze: OpenAIRE
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