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[ECMO Therapy in a Case of Severe ARDS Related to COVID-19]. / ECMO als Therapie des schweren Lungenversagens bei COVID-19.
Schmauss, M; Müller, E; Schwamborn, M; Giesa, C; Ewig, S.
  • Schmauss M; Klinik für Anästhesiologie, Intensiv-, Notfall- und Schmerzmedizin, EVK Herne, Herne.
  • Müller E; Klinik für Anästhesiologie, Intensiv-, Notfall- und Schmerzmedizin, EVK Herne, Herne.
  • Schwamborn M; Thoraxzentrum Ruhrgebiet, Klink für Innere Medizin, Pneumologie und Infektiologie, EVK Herne, Herne.
  • Giesa C; Thoraxzentrum Ruhrgebiet, Klink für Innere Medizin, Pneumologie und Infektiologie, EVK Herne, Herne.
  • Ewig S; Klinken für Innere Medizin, Pneumologie und Infektiologie, EVK Herne und Augusta-Kranken-Anstalt Bochum, Bochum.
Pneumologie ; 74(7): 423-428, 2020 Jul.
Article in German | MEDLINE | ID: covidwho-680639
ABSTRACT
We report the case of a 60-year old female patient with advanced severe lung injury as a consequence of COVID-19-pneumonia. The patient was initially treated with highflow oxygen via nasal cannula (HFNC) and CPAP for two days but had to be intubated and mechanically ventilated. After failure of mechanical ventilation because of persistant severe hypoxemia treatment was switched to ECMO which was applicated for 24 days. Prognostic parameters indicated a favourable trend after day 14. After discontinuation of ECMO and 11 days of intermittent assisted ventilation via tracheostoma and low dose oxygen (1 l/min), the patient could be transferred to rehabilitation. The last chest radiograph prior to transferral revealed a nearly complete resolution of bilateral pulmonary infiltrates. Our case demonstrates that severe COVID-19-associated lung injury can be reversible even after prolonged ECMO.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Respiratory Distress Syndrome / Respiratory Insufficiency / Extracorporeal Membrane Oxygenation / Coronavirus Infections / Coronavirus Type of study: Case report / Prognostic study Topics: Long Covid Limits: Female / Humans / Middle aged Language: German Journal: Pneumologie Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Respiratory Distress Syndrome / Respiratory Insufficiency / Extracorporeal Membrane Oxygenation / Coronavirus Infections / Coronavirus Type of study: Case report / Prognostic study Topics: Long Covid Limits: Female / Humans / Middle aged Language: German Journal: Pneumologie Year: 2020 Document Type: Article