Clinical outcomes of severe COVID-19 patients receiving early VV-ECMO and the impact of pre-ECMO ventilator use.


Journal

The International journal of artificial organs
ISSN: 1724-6040
Titre abrégé: Int J Artif Organs
Pays: United States
ID NLM: 7802649

Informations de publication

Date de publication:
Nov 2021
Historique:
pubmed: 8 10 2021
medline: 3 11 2021
entrez: 7 10 2021
Statut: ppublish

Résumé

Acute respiratory distress syndrome (ARDS) in COVID-19 patients is associated with poor clinical outcomes and high mortality rates, despite the use of mechanical ventilation. Veno-Venous Extracorporeal membrane Oxygenation (VV-ECMO) in these patients is a viable salvage therapy. We describe clinical outcomes and survival rates in 52 COVID-19 patients with ARDS treated with early VV-ECMO at a large, high-volume center ECMO program. Outcomes included arterial blood gases, respiratory parameters, inflammatory markers, adverse events, and survival rates. Patients' mean age was 47.8 ± 12.1 years, 33% were female, and 75% were Hispanic. At the end of study period, 56% (

Identifiants

pubmed: 34615404
doi: 10.1177/03913988211047604
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

861-867

Auteurs

Chandra Kunavarapu (C)

Department of Advanced Heart Failure and Transplantation and Adult ECMO Program, Methodist Health System, San Antonio, TX, USA.

Samrat Yeramaneni (S)

Sarah Cannon Research Institute, HCA Healthcare, Nashville, TN, USA.

Jairo Melo (J)

Department of Critical Care Medicine and Adult ECMO Program, Methodist Health System, San Antonio, TX, USA.

Rachel K Sterling (RK)

Department of Critical Care Medicine and Adult ECMO Program, Methodist Health System, San Antonio, TX, USA.

Lindsey C Huskey (LC)

Sarah Cannon Research Institute, HCA Healthcare, Nashville, TN, USA.

Lindsay Sears (L)

Sarah Cannon Research Institute, HCA Healthcare, Nashville, TN, USA.

Charles Burch (C)

Department of Critical Care Medicine and Adult ECMO Program, Methodist Health System, San Antonio, TX, USA.

Steve M Rodriguez (SM)

Department of Advanced Heart Failure and Transplantation and Adult ECMO Program, Methodist Health System, San Antonio, TX, USA.

Phillip J Habib (PJ)

Department of Advanced Heart Failure and Transplantation and Adult ECMO Program, Methodist Health System, San Antonio, TX, USA.

Fernando Triana (F)

Department of Cardiovascular Diseases, Methodist Health System, San Antonio, TX, USA.

Jeffrey DellaVolpe (J)

Department of Critical Care Medicine and Adult ECMO Program, Methodist Health System, San Antonio, TX, USA.

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Classifications MeSH