1. Veno-venous extracorporeal membrane oxygenation in patients with SARS-CoV-2 pneumonia in Brazil: a case series.
- Author
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de Resende Brasil, Lucas Mendes Cunha, de Arruda, Gabriel Nóbrega, de Freitas Diniz, Gabriela Bezerra, Ikeoka, Dimas Tadahiro, Saliba, Gustavo Niankowski, Camargo, Camila Riberto, de Barros Machado, David José, Duarte, Felipe Aires, and Fernandes, Felipe Lourenço
- Subjects
EXTRACORPOREAL membrane oxygenation ,RESPIRATORY distress syndrome ,SARS-CoV-2 ,COVID-19 ,COVID-19 pandemic ,PATIENT positioning ,PNEUMONIA - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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