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Not just a matter of weight: A case report of ECMO treatment in a severely obese patient.
Schiavoni, L; Mattei, A; Pascarella, G; Piliego, C; Biondo, G; Strumia, A; Agrò, Felice E.
  • Schiavoni L; Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, Università Campus Bio-Medico di Roma, via Álvaro del Portillo 21, 00128 Rome, Italy.
  • Mattei A; Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, Università Campus Bio-Medico di Roma, via Álvaro del Portillo 21, 00128 Rome, Italy.
  • Pascarella G; Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, Università Campus Bio-Medico di Roma, via Álvaro del Portillo 21, 00128 Rome, Italy.
  • Piliego C; Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, Ospedale di Velletri, Via Orti Ginnetti n.7, 00049 Velletri, RM, Italy.
  • Biondo G; Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, Università Campus Bio-Medico di Roma, via Álvaro del Portillo 21, 00128 Rome, Italy.
  • Strumia A; Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, Università Campus Bio-Medico di Roma, via Álvaro del Portillo 21, 00128 Rome, Italy. Electronic address: a.strumia@unicampus.it.
  • Agrò FE; Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, Università Campus Bio-Medico di Roma, via Álvaro del Portillo 21, 00128 Rome, Italy.
Obes Res Clin Pract ; 16(4): 346-348, 2022.
Article in English | MEDLINE | ID: covidwho-1966977
ABSTRACT
The ELSO Guidelines list a BMI ≥ 40 kg/m2 among the relative contraindications to give ECMO treatment in SARS - COV2 patients. We describe a case of a 52-year-old with BMI 50.21 kg/m2, admitted to the intensive care unit (ICU) with severe respiratory conditions and successfully treated with extracorporeal membrane oxygenation (ECMO). The application of veno-venous (VV) ECMO will evolve as far as we understand the pathophysiology of the COVID-19 disease and will probably have a determinant role in management of patient with refractory hypoxemia, whose ventilation management is difficult, even in case of severe obesity.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Distress Syndrome / Obesity, Morbid / Extracorporeal Membrane Oxygenation / COVID-19 Type of study: Case report Topics: Long Covid Limits: Humans / Middle aged Language: English Journal: Obes Res Clin Pract Year: 2022 Document Type: Article Affiliation country: J.orcp.2022.07.008

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Distress Syndrome / Obesity, Morbid / Extracorporeal Membrane Oxygenation / COVID-19 Type of study: Case report Topics: Long Covid Limits: Humans / Middle aged Language: English Journal: Obes Res Clin Pract Year: 2022 Document Type: Article Affiliation country: J.orcp.2022.07.008