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Case Report: Respiratory Management With a 47-Day ECMO Support for a Critical Patient With COVID-19.
Xu, Wen; Tan, Ruoming; Huang, Jie; Qin, Shuai; Wu, Jing; Qiu, Yuzhen; Xie, Simin; Xu, Yan; Du, Ying; Li, Feng; Li, Bailing; Li, Yingchuan; Gao, Yuan; Li, Xin; Qu, Hongping.
  • Xu W; Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Tan R; Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Huang J; Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Qin S; Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Wu J; Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Qiu Y; Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Xie S; Department of Respiratory Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Xu Y; Department of Critical Care Medicine, Ruijin Hospital North, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Du Y; Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Li F; Intensive Care Unit, Shanghai Public Health Clinical Center, Shanghai, China.
  • Li B; Department of Cardiovascular Surgical Intensive Care Unit (ICU), Changhai Hospital, Shanghai, China.
  • Li Y; Department of Critical Care Medicine, The Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China.
  • Gao Y; Department of Critical Care Medicine, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Li X; Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
  • Qu H; Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Front Med (Lausanne) ; 8: 714387, 2021.
Article in English | MEDLINE | ID: covidwho-1639203
ABSTRACT
This paper reports a complete case of severe acute respiratory distress syndrome (ARDS) caused by coronavirus disease 2019 (COVID-19), who presented with rapid deterioration of oxygenation during hospitalization despite escalating high-flow nasal cannulation to invasive mechanical ventilation. After inefficacy with lung-protective ventilation, positive end-expiratory pressure (PEEP) titration, prone position, we administered extracorporeal membrane oxygenation (ECMO) as a salvage respiratory support with ultra-protective ventilation for 47 days and finally discharged the patient home with a good quality of life with a Barthel Index Score of 100 after 76 days of hospitalization. The purpose of this paper is to provide a clinical reference for the management of ECMO and respiratory strategy of critical patients with COVID-19-related ARDS.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Front Med (Lausanne) Year: 2021 Document Type: Article Affiliation country: Fmed.2021.714387

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Front Med (Lausanne) Year: 2021 Document Type: Article Affiliation country: Fmed.2021.714387