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Veno-venous extracorporeal membrane oxygenation in patients with SARS-CoV-2 pneumonia in Brazil: a case series
- Source :
- Jornal Brasileiro de Pneumologia, Vol 49, Iss 4 (2023)
- Publication Year :
- 2023
- Publisher :
- Sociedade Brasileira de Pneumologia e Tisiologia, 2023.
-
Abstract
- 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.
Details
- Language :
- English, Portuguese
- ISSN :
- 18063756
- Volume :
- 49
- Issue :
- 4
- Database :
- Directory of Open Access Journals
- Journal :
- Jornal Brasileiro de Pneumologia
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.9f4079202a684b34aef90bc930a40146
- Document Type :
- article
- Full Text :
- https://doi.org/10.36416/1806-3756/e20230046