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

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, a...

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Autores principales: Tran, Dena H., Peng, Carol Chiung-Hui, Wolde-Rufael, Daniel A., Devkota, Hari, Diaz-Abad, Montserrat, Baghdadi, Jonathan, Chow, R. Dobbin, Verceles, Avelino C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8221150/
https://www.ncbi.nlm.nih.gov/pubmed/34211653
http://dx.doi.org/10.1080/20009666.2021.1918442
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author Tran, Dena H.
Peng, Carol Chiung-Hui
Wolde-Rufael, Daniel A.
Devkota, Hari
Diaz-Abad, Montserrat
Baghdadi, Jonathan
Chow, R. Dobbin
Verceles, Avelino C.
author_facet Tran, Dena H.
Peng, Carol Chiung-Hui
Wolde-Rufael, Daniel A.
Devkota, Hari
Diaz-Abad, Montserrat
Baghdadi, Jonathan
Chow, R. Dobbin
Verceles, Avelino C.
author_sort Tran, Dena H.
collection PubMed
description 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.
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spelling pubmed-82211502021-06-30 A successful case of extracorporeal membrane oxygenation for COVID-19: walking home without oxygen supplementation Tran, Dena H. Peng, Carol Chiung-Hui Wolde-Rufael, Daniel A. Devkota, Hari Diaz-Abad, Montserrat Baghdadi, Jonathan Chow, R. Dobbin Verceles, Avelino C. J Community Hosp Intern Med Perspect Case Report 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. Taylor & Francis 2021-06-21 /pmc/articles/PMC8221150/ /pubmed/34211653 http://dx.doi.org/10.1080/20009666.2021.1918442 Text en © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Tran, Dena H.
Peng, Carol Chiung-Hui
Wolde-Rufael, Daniel A.
Devkota, Hari
Diaz-Abad, Montserrat
Baghdadi, Jonathan
Chow, R. Dobbin
Verceles, Avelino C.
A successful case of extracorporeal membrane oxygenation for COVID-19: walking home without oxygen supplementation
title A successful case of extracorporeal membrane oxygenation for COVID-19: walking home without oxygen supplementation
title_full A successful case of extracorporeal membrane oxygenation for COVID-19: walking home without oxygen supplementation
title_fullStr A successful case of extracorporeal membrane oxygenation for COVID-19: walking home without oxygen supplementation
title_full_unstemmed A successful case of extracorporeal membrane oxygenation for COVID-19: walking home without oxygen supplementation
title_short A successful case of extracorporeal membrane oxygenation for COVID-19: walking home without oxygen supplementation
title_sort successful case of extracorporeal membrane oxygenation for covid-19: walking home without oxygen supplementation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8221150/
https://www.ncbi.nlm.nih.gov/pubmed/34211653
http://dx.doi.org/10.1080/20009666.2021.1918442
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