Open AccessSpecific Considerations for Venovenous Extracorporeal Membrane Oxygenation During Coronavirus Disease 2019 Pandemic
Author(s) -
Julien Guihaire,
Clark Owyang,
Jai Madhok,
Florent Laverdure,
Maïra Gaillard,
Antoine Girault,
Guillaume Lebreton,
Olaf Mercier
Publication year - 2020
Publication title -
asaio journal
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.961
H-Index - 66
eISSN - 1538-943X
pISSN - 1058-2916
DOI - 10.1097/mat.0000000000001251
Subject(s) - extracorporeal membrane oxygenation , ards , medicine , coagulopathy , covid-19 , pandemic , intensive care medicine , acute respiratory distress , outbreak , coronavirus , anesthesia , disease , emergency medicine , infectious disease (medical specialty) , lung , surgery , virology
Extracorporeal membrane oxygenation (ECMO) is recognized as organ support for potentially reversible acute respiratory distress syndrome (ARDS). However, limited resource during the outbreak and the coagulopathy associated with coronavirus disease 2019 (COVID-19) make the utilization of venovenous (VV) ECMO highly challenging. We herein report specific considerations for cannulation configurations and ECMO management during the pandemic. High blood flow and anticoagulation at higher levels than usual practice for VV ECMO may be required because of thrombotic hematologic profile of COVID-19. Among our first 24 cases (48.8 ± 8.9 years), 17 patients were weaned from ECMO after a mean duration of 19.0 ± 10.1 days and 16 of them have been discharged from ICU.