Open AccessAn Extracorporeal Membrane Oxygenation First Strategy in COVID-19 Acute Respiratory Distress Syndrome
Author(s) -
Jenna Aziz,
Jeffrey DellaVolpe,
Salim Aziz,
Rachel Sterling
Publication year - 2021
Publication title -
asaio journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.961
H-Index - 66
eISSN - 1538-943X
pISSN - 1058-2916
DOI - 10.1097/mat.0000000000001554
Subject(s) - extracorporeal membrane oxygenation , medicine , covid-19 , pneumonia , mechanical ventilation , acute respiratory distress , anesthesia , oxygenation , complication , respiratory distress , extracorporeal , intensive care medicine , lung , disease , pathology , outbreak , infectious disease (medical specialty)
COVID-19 can be associated with acute respiratory distress syndrome, which increases the likelihood of morbidity and mortality. Ventilator-induced lung injury is a known complication of mechanical ventilation (MV) and can further compound lung injury and recovery. Escalation to extracorporeal membrane oxygenation can be required in patients who deteriorate on MV. We report our experience with complete avoidance of MV using an ECMO First strategy deployed in an awake nonintubated COVID-19 patient with severe pneumonia.