Article ; Online: Veno-venous extracorporeal membrane oxygenation in patients with SARS-CoV-2 pneumonia in Brazil: a case series.
2023 Volume 49, Issue 4, Page(s) e20230046
Abstract: Objective: The world has been suffering from the COVID-19 pandemic. Some COVID-19 patients develop severe viral pneumonia, requiring mechanical ventilation and measures to treat refractory hypoxemia, such as a protective ventilation strategy, prone ... ...
Abstract | Objective: The world has been suffering from the COVID-19 pandemic. Some COVID-19 patients develop severe viral pneumonia, requiring mechanical ventilation and measures to treat refractory hypoxemia, such as a protective ventilation strategy, prone positioning, and the use of veno-venous extracorporeal membrane oxygenation (VV-ECMO). We describe a case series of 30 COVID-19 patients who needed VV-ECMO at the Hospital Alemão Oswaldo Cruz, located in the city of São Paulo, Brazil. Methods: We included all patients who required VV-ECMO due to COVID-19 pneumonia between March of 2020 and June of 2021. Results: Prior to VV-ECMO, patients presented with the following median scores: SOFA score, 11; APPS score, 7; Respiratory ECMO Survival Prediction score, 2; and Murray score, 3.3. The 60-day-in-hospital mortality was 33.3% (n = 10). Conclusions: Although our patients had a highly severe profile, our results were similar to those of other cohort studies in the literature. This demonstrates that VV-ECMO can be a good tool even in a pandemic situation when it is managed in an experienced center. |
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MeSH term(s) | Humans ; SARS-CoV-2 ; COVID-19/therapy ; Extracorporeal Membrane Oxygenation/methods ; Pandemics ; Brazil/epidemiology ; Retrospective Studies |
Language | Portuguese |
Publishing date | 2023-08-07 |
Publishing country | Brazil |
Document type | Case Reports |
ZDB-ID | 2223157-2 |
ISSN | 1806-3756 ; 1806-3713 |
ISSN (online) | 1806-3756 |
ISSN | 1806-3713 |
DOI | 10.36416/1806-3756/e20230046 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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