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Case Report: Respiratory Management With a 47-Day ECMO Support for a Critical Patient With COVID-19

This paper reports a complete case of severe acute respiratory distress syndrome (ARDS) caused by coronavirus disease 2019 (COVID-19), who presented with rapid deterioration of oxygenation during hospitalization despite escalating high-flow nasal cannulation to invasive mechanical ventilation. After...

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Detalles Bibliográficos
Autores principales: Xu, Wen, Tan, Ruoming, Huang, Jie, Qin, Shuai, Wu, Jing, Qiu, Yuzhen, Xie, Simin, Xu, Yan, Du, Ying, Li, Feng, Li, Bailing, Li, Yingchuan, Gao, Yuan, Li, Xin, Qu, Hongping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8739513/
https://www.ncbi.nlm.nih.gov/pubmed/35004711
http://dx.doi.org/10.3389/fmed.2021.714387
Descripción
Sumario:This paper reports a complete case of severe acute respiratory distress syndrome (ARDS) caused by coronavirus disease 2019 (COVID-19), who presented with rapid deterioration of oxygenation during hospitalization despite escalating high-flow nasal cannulation to invasive mechanical ventilation. After inefficacy with lung-protective ventilation, positive end-expiratory pressure (PEEP) titration, prone position, we administered extracorporeal membrane oxygenation (ECMO) as a salvage respiratory support with ultra-protective ventilation for 47 days and finally discharged the patient home with a good quality of life with a Barthel Index Score of 100 after 76 days of hospitalization. The purpose of this paper is to provide a clinical reference for the management of ECMO and respiratory strategy of critical patients with COVID-19-related ARDS.