The Prolonged Use of VV ECMO Support in COVID-19: A Case Report
COVID-19 has resulted in unprecedented global health and economic challenges. The reported mortality in patients with COVID-19 requiring mechanical ventilation is high. VV ECMO may serve as a lifesaving rescue therapy for a minority of patients with COVID-19; however, its impact on overall survival...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2020-11-01
|
| Series: | The Journal of Critical Care Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.2478/jccm-2020-0034 |
| _version_ | 1797421905407377408 |
|---|---|
| author | Fitzgerald Amelia Lucy Vachharajani Hemal Hitesh Davidson Benjamin Paul Kruit Natalie Joanne Eslick Adam Trevor |
| author_facet | Fitzgerald Amelia Lucy Vachharajani Hemal Hitesh Davidson Benjamin Paul Kruit Natalie Joanne Eslick Adam Trevor |
| author_sort | Fitzgerald Amelia Lucy |
| collection | DOAJ |
| description | COVID-19 has resulted in unprecedented global health and economic challenges. The reported mortality in patients with COVID-19 requiring mechanical ventilation is high. VV ECMO may serve as a lifesaving rescue therapy for a minority of patients with COVID-19; however, its impact on overall survival of these patients is unknown. To date, few reports describe successful discharge from ECMO in COVID-19 after a prolonged ECMO run. The only Australian case of a COVID-19 patient, supported by prolonged VV ECMO in conjunction with prone ventilation, complicated by significant airway bleeding, and successfully decannulated after forty-two days, is described. VV ECMO is a resource-intense form of respiratory support. Providing complex therapies such as VV ECMO during a pandemic has its unique challenges. This case report provides a unique insight into the potential clinical sequelae of COVID-19, supported in an intensive care environment which was not resource-limited at the time, and adds to the evolving experience of prolonged VV ECMO support for ARDS with a goal to lung recovery. |
| first_indexed | 2024-03-09T07:24:15Z |
| format | Article |
| id | doaj.art-9e8f75f5bad340828dadd9784e178f8a |
| institution | Directory Open Access Journal |
| issn | 2393-1817 |
| language | English |
| last_indexed | 2024-03-09T07:24:15Z |
| publishDate | 2020-11-01 |
| publisher | Sciendo |
| record_format | Article |
| series | The Journal of Critical Care Medicine |
| spelling | doaj.art-9e8f75f5bad340828dadd9784e178f8a2023-12-03T07:08:56ZengSciendoThe Journal of Critical Care Medicine2393-18172020-11-016422423010.2478/jccm-2020-0034jccm-2020-0034The Prolonged Use of VV ECMO Support in COVID-19: A Case ReportFitzgerald Amelia Lucy0Vachharajani Hemal Hitesh1Davidson Benjamin Paul2Kruit Natalie Joanne3Eslick Adam Trevor4Westmead Hospital, Westmead, Sydney, New South Wales, AustraliaWestmead Hospital, Westmead, Sydney, New South Wales, AustraliaWestmead Hospital, Westmead, Sydney, New South Wales, AustraliaWestmead Hospital, Westmead, Sydney, New South Wales, AustraliaWestmead Hospital, Westmead, Sydney, New South Wales, AustraliaCOVID-19 has resulted in unprecedented global health and economic challenges. The reported mortality in patients with COVID-19 requiring mechanical ventilation is high. VV ECMO may serve as a lifesaving rescue therapy for a minority of patients with COVID-19; however, its impact on overall survival of these patients is unknown. To date, few reports describe successful discharge from ECMO in COVID-19 after a prolonged ECMO run. The only Australian case of a COVID-19 patient, supported by prolonged VV ECMO in conjunction with prone ventilation, complicated by significant airway bleeding, and successfully decannulated after forty-two days, is described. VV ECMO is a resource-intense form of respiratory support. Providing complex therapies such as VV ECMO during a pandemic has its unique challenges. This case report provides a unique insight into the potential clinical sequelae of COVID-19, supported in an intensive care environment which was not resource-limited at the time, and adds to the evolving experience of prolonged VV ECMO support for ARDS with a goal to lung recovery.https://doi.org/10.2478/jccm-2020-0034extracorporeal life supportacute respiratory distress syndrome (ards)coronavirus infectionmechanical ventilationprone positioning |
| spellingShingle | Fitzgerald Amelia Lucy Vachharajani Hemal Hitesh Davidson Benjamin Paul Kruit Natalie Joanne Eslick Adam Trevor The Prolonged Use of VV ECMO Support in COVID-19: A Case Report The Journal of Critical Care Medicine extracorporeal life support acute respiratory distress syndrome (ards) coronavirus infection mechanical ventilation prone positioning |
| title | The Prolonged Use of VV ECMO Support in COVID-19: A Case Report |
| title_full | The Prolonged Use of VV ECMO Support in COVID-19: A Case Report |
| title_fullStr | The Prolonged Use of VV ECMO Support in COVID-19: A Case Report |
| title_full_unstemmed | The Prolonged Use of VV ECMO Support in COVID-19: A Case Report |
| title_short | The Prolonged Use of VV ECMO Support in COVID-19: A Case Report |
| title_sort | prolonged use of vv ecmo support in covid 19 a case report |
| topic | extracorporeal life support acute respiratory distress syndrome (ards) coronavirus infection mechanical ventilation prone positioning |
| url | https://doi.org/10.2478/jccm-2020-0034 |
| work_keys_str_mv | AT fitzgeraldamelialucy theprolongeduseofvvecmosupportincovid19acasereport AT vachharajanihemalhitesh theprolongeduseofvvecmosupportincovid19acasereport AT davidsonbenjaminpaul theprolongeduseofvvecmosupportincovid19acasereport AT kruitnataliejoanne theprolongeduseofvvecmosupportincovid19acasereport AT eslickadamtrevor theprolongeduseofvvecmosupportincovid19acasereport AT fitzgeraldamelialucy prolongeduseofvvecmosupportincovid19acasereport AT vachharajanihemalhitesh prolongeduseofvvecmosupportincovid19acasereport AT davidsonbenjaminpaul prolongeduseofvvecmosupportincovid19acasereport AT kruitnataliejoanne prolongeduseofvvecmosupportincovid19acasereport AT eslickadamtrevor prolongeduseofvvecmosupportincovid19acasereport |