Early Initiation of Veno-venous Extracorporeal Membrane Oxygenation in the Emergency Room as A Salvage Treatment for Patients with Coronavirus Disease 2019 with Severe Acute Respiratory Distress Syndrome
1Department of Emergency and Critical Care Medicine, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, Japan
DOI: 10.22514/sv.2020.16.0102 Vol.17,Issue 2,March 2021 pp.219-222
Published: 08 March 2021
Background: Since veno-venous extracorporeal membrane oxygenation (VV-ECMO) is highly invasive and may be used over a long period of time, its introduction is usually carefully considered and planned. Here, we report the case of a life-saving procedure by introducing VV-ECMO in the emergency room.
Case presentation: A 56 year-old man had fatigue for 3 days along with rapidly worsening dyspnea. On arrival at the emergency room, he presented with severe hypoxemia. Tracheal intubation and mechanical ventilation were immediately initiated; however, hypoxemia persisted. Therefore, VV-ECMO was introduced in the emergency room. The patient’s respiratory condition gradually improved, and VV-ECMO was terminated on hospital day 6.
Conclusion: The early introduction of VV-ECMO in the emergency room was effective against acute respiratory distress syndrome caused by coronavirus disease 2019. Further studies should be performed to confirm the efficacy of early VV-ECMO introduction.
Extracorporeal membrane oxygenation, COVID-19, Severe acute respiratory syndrome coronavirus 2, Critical care
Kenta Aida,Kazunari Azuma,Kentaro Morinaga,Yuki Nishiyama,Kazuma Kimura,Jun Oda. Early Initiation of Veno-venous Extracorporeal Membrane Oxygenation in the Emergency Room as A Salvage Treatment for Patients with Coronavirus Disease 2019 with Severe Acute Respiratory Distress Syndrome. Signa Vitae. 2021. 17(2);219-222.
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