ECMO as rescue for COVID-19 related ARDS: the pros and cons

被引：0

作者：

van der Heijden, J. J. ^{[1
]}

Meuwese, C. L. ^{[1
]}

Braithwaite, S. A. ^{[2
]}

机构：

[1] Univ Utrecht, Univ Med Ctr, Dept Intens Care, Utrecht, Netherlands

[2] Univ Utrecht, Univ Med Ctr, Dept Cardiothorac Anaesthesiol, Utrecht, Netherlands

来源：

NETHERLANDS JOURNAL OF CRITICAL CARE | 2021年 / 29卷 / 02期

关键词：

ECMO; COVID-19; ARDS; EXTRACORPOREAL MEMBRANE-OXYGENATION; DOCUMENT; SUPPORT;

D O I：

暂无

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Using extracorporeal membrane oxygenation (ECMO) as rescue respiratory support for COVID-19 related ARDS may be seen as a controversial use of scarce and stretched resources in the context of a global pandemic. We present two cases of COVID-19 related ARDS both requiring ECMO support in an experienced ECMO tertiary centre. The cases illustrate the decision-making concerning the initiation of ECMO during life-threatening COVID-19 related respiratory failure. Both patients encountered the typical complications during extensive ECMO support, but with a completely different outcome. To identify patients that really benefit from this potentially life-saving support modality and attain meaningful functional outcome in addition to survival, remains a matter of debate.

引用

页码：107 / 112

页数：6

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