Veno-venous Extracorporeal Membrane Oxygenation in Patients with SARS-CoV-2 Pneumonia in Brazil: a Case Series

Overview

Journal J Bras Pneumol

Specialty Pulmonary Medicine

Date 2023 Aug 9

PMID 37556669

Authors

Lucas Mendes Cunha de Resende Brasil

Gabriel Nobrega de Arruda

Gabriela Bezerra de Freitas Diniz

Dimas Tadahiro Ikeoka

Gustavo Niankowski Saliba

Camila Riberto Camargo

David Jose de Barros Machado

Felipe Aires Duarte

Felipe Lourenco Fernandes

Affiliations

Soon will be listed here.

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.

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