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
收藏
页码：107 / 112
页数：6
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