<abstract xmlns="http://www.w3.org/1999/xhtml"><p>COVID-19 has resulted in unprecedented global health and economic challenges. The reported mortality in patients with COVID-19 requiring mechanical ventilation is high. VV ECMO may serve as a lifesaving rescue therapy for a minority of patients with COVID-19; however, its impact on overall survival of these patients is unknown. To date, few reports describe successful discharge from ECMO in COVID-19 after a prolonged ECMO run. The only Australian case of a COVID-19 patient, supported by prolonged VV ECMO in conjunction with prone ventilation, complicated by significant airway bleeding, and successfully decannulated after forty-two days, is described. VV ECMO is a resource-intense form of respiratory support. Providing complex therapies such as VV ECMO during a pandemic has its unique challenges. This case report provides a unique insight into the potential clinical sequelae of COVID-19, supported in an intensive care environment which was not resource-limited at the time, and adds to the evolving experience of prolonged VV ECMO support for ARDS with a goal to lung recovery.</p></abstract>

COVID-19 has resulted in unprecedented global health and economic challenges. The reported mortality in patients with COVID-19 requiring mechanical ventilation is high. VV ECMO may serve as a lifesaving rescue therapy for a minority of patients with COVID-19; however, its impact on overall survival of these patients is unknown. To date, few reports describe successful discharge from ECMO in COVID-19 after a prolonged ECMO run. The only Australian case of a COVID-19 patient, supported by prolonged VV ECMO in conjunction with prone ventilation, complicated by significant airway bleeding, and successfully decannulated after forty-two days, is described. VV ECMO is a resource-intense form of respiratory support. Providing complex therapies such as VV ECMO during a pandemic has its unique challenges. This case report provides a unique insight into the potential clinical sequelae of COVID-19, supported in an intensive care environment which was not resource-limited at the time, and adds to the evolving experience of prolonged VV ECMO support for ARDS with a goal to lung recovery.

The Prolonged Use of VV ECMO Support in COVID-19: A Case Report

The Journal of Critical Care Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

{"article-title":"The Prolonged Use of VV ECMO Support in COVID-19: A Case Report"}

COVID-19 has resulted in unprecedented global health and economic challenges. The reported mortality in patients with COVID-19 requiring mechanical ventilation...

The Prolonged Use of VV ECMO Support in COVID-19: A Case Report

Article Category: Case Report

Publié en ligne: 07 nov. 2020

Pages: 224 - 230

Reçu: 02 août 2020

Accepté: 29 sept. 2020

DOI: https://doi.org/10.2478/jccm-2020-0034

Mots clés
extracorporeal life support, acute respiratory distress syndrome (ARDS), Coronavirus infection, mechanical ventilation, prone positioning

© 2020 Amelia Lucy Fitzgerald, Hemal Hitesh Vachharajani, Benjamin Paul Davidson, Natalie Joanne Kruit, Adam Trevor Eslick, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig.1

Fig.2

The Prolonged Use of VV ECMO Support in COVID-19: A Case Report

Article Category: Case Report

Publié en ligne: 07 nov. 2020

Pages: 224 - 230

Reçu: 02 août 2020

Accepté: 29 sept. 2020

DOI: https://doi.org/10.2478/jccm-2020-0034

Mots clésextracorporeal life support, acute respiratory distress syndrome (ARDS), Coronavirus infection, mechanical ventilation, prone positioning

© 2020 Amelia Lucy Fitzgerald, Hemal Hitesh Vachharajani, Benjamin Paul Davidson, Natalie Joanne Kruit, Adam Trevor Eslick, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig.1

Fig.2

Mots clés
extracorporeal life support, acute respiratory distress syndrome (ARDS), Coronavirus infection, mechanical ventilation, prone positioning