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Extracorporeal Membrane Oxygenation Circuits in Parallel for Refractory Hypoxemia in COVID-19: A Case Series.
Patel, Yatrik J; Stokes, John W; Gannon, Whitney D; Francois, Sean A; Wu, Wei Kelly; Rice, Todd W; Bacchetta, Matthew.
Afiliación
  • Patel YJ; From the Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
  • Stokes JW; From the Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
  • Gannon WD; Department of Pulmonary, Allergy, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
  • Francois SA; From the Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
  • Wu WK; From the Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
  • Rice TW; Department of Pulmonary, Allergy, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
  • Bacchetta M; From the Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
ASAIO J ; 68(8): 1002-1009, 2022 08 01.
Article en En | MEDLINE | ID: mdl-35507443
Refractory hypoxemia despite the use of extracorporeal membrane oxygenation (ECMO) for coronavirus disease 2019 (COVID-19)-related acute respiratory distress syndrome remains a challenging problem. A single ECMO circuit may not provide adequate physiologic support in the setting of an elevated cardiac output, physiologic demand, and impaired gas exchange. In select patients with refractory hypoxemia, addition of a second ECMO circuit in parallel can improve oxygenation, facilitate lung protective ventilation, awakening, and physical rehabilitation. We report the largest case series to date of patients receiving ECMO circuits in parallel and the first to report this approach in COVID-19.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Dificultad Respiratoria / Oxigenación por Membrana Extracorpórea / COVID-19 / Hipoxia Tipo de estudio: Etiology_studies Límite: Humans Idioma: En Revista: ASAIO J Asunto de la revista: TRANSPLANTE Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Dificultad Respiratoria / Oxigenación por Membrana Extracorpórea / COVID-19 / Hipoxia Tipo de estudio: Etiology_studies Límite: Humans Idioma: En Revista: ASAIO J Asunto de la revista: TRANSPLANTE Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos