A successful case of extracorporeal membrane oxygenation for COVID-19: walking home without oxygen supplementation

Autor:	Avelino C. Verceles, Jonathan Baghdadi, Dena H Tran, Daniel Wolde-Rufael, R. Dobbin Chow, Carol Chiung-Hui Peng, Hari Devkota, Montserrat Diaz-Abad
Rok vydání:	2021
Předmět:	2019-20 coronavirus outbreak Coronavirus disease 2019 (COVID-19) viruses Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) medicine.medical_treatment Case Report Discharge home 030204 cardiovascular system & hematology medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Internal Medicine Extracorporeal membrane oxygenation Medicine 030212 general & internal medicine Coronavirus Oxygen supplementation business.industry SARS-CoV-2 ambulation respiratory failure virus diseases COVID-19 extracorporeal membrane oxygenation acute respiratory distress syndrome discharge home RC31-1245 Respiratory failure Anesthesia business Research Article
Zdroj:	Journal of Community Hospital Internal Medicine Perspectives article-version (VoR) Version of Record Journal of Community Hospital Internal Medicine Perspectives, Vol 11, Iss 4, Pp 480-484 (2021)
ISSN:	2000-9666
Popis:	Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged from Wuhan, China in December 2019 and is the strain of coronavirus that causes coronavirus disease 2019 (COVID-19). Approximately one-third of the patients with COVID-19 require intensive care unit (ICU) admission, and almost 30% of the patients develop acute respiratory distress syndrome (ARDS). Extracorporeal membrane oxygenation (ECMO) is used as salvage therapy for severe ARDS. The role of ECMO in the treatment of COVID-19 remains unclear, although there is emerging evidence that this approach may be an effective salvage therapy for severe ARDS. Case Presentation: We present a case of a previously healthy 39-year-old Hispanic male who presented to the hospital with flu-like symptoms, including headache, fatigue, and myalgia for 8 days in late April 2020. He denied dyspnea on exertion. The patient’s symptoms progressed, resulting in pneumonia and acute respiratory distress syndrome (ARDS). The patient was managed with prone positioning, convalescent plasma and veno-venous extracorporeal membrane oxygenation (VV-ECMO) for 35 days. The patient successfully recovered and was able to ambulate independently and was discharged home from an acute care hospital without oxygen supplementation on hospital day 63. Conclusion: We present one of the first few documented cases of ECMO for severe ARDS due to COVID-19. After a prolonged hospital course requiring VV-ECMO, the patient was discharged home from an acute care hospital without oxygen requirement and ambulated independently, likely as a result of daily aggressive mobility-focused rehabilitation.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f65c755b48c6fe9aa99b64ef1e1ba92c https://pubmed.ncbi.nlm.nih.gov/34211653 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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