Extracorporeal membrane oxygenation in COVID-19

a case report

Authors

  • Indalecio Carboni Bisso Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires https://orcid.org/0000-0002-4834-4676
  • Melina Garbarini Hospital Italiano de Buenos Aires
  • Carolina Lockhart Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires
  • Sonia Villarroel Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires
  • José Chas Cirugía Cardiovascular, Hospital Italiano de Buenos Aires
  • Vadim Kotowicz Cirugía Cardiovascular, Hospital Italiano de Buenos Aires
  • Eduardo San Román Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires
  • Marcos Las Heras Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires

DOI:

https://doi.org/10.31053/1853.0605.v79.n1.29337

Keywords:

COVID-19, critical care, respiratory distress syndrome, adult, extracorporeal membrane oxygenation

Abstract

Introduction: The role of the use of Extracorporeal Membrane Oxygenation (ECMO) in patients with coronavirus disease (COVID-19) is under discussion. Whereas in patients with Acute Respiratory Distress Syndrome (ARDS) the ECMO is a usual rescue measure used to optimize the oxygenation as a bridge to pulmonary rehabilitation, in patients that have refractory hypoxemic respiratory failure with recovery potential, the use of ECMO could also be beneficial.

Objective: The purpose of this work is to report the first case of COVID-19 that required ECMO in Argentina, with a good response.

Methodology: We describe the first case of COVID-19 that required ECMO in Argentina, in a patient without comorbidities, with good clinical results.

Results: The use of ECMO in the reported case provided a substantial benefit in oxygenation, acting as a bridge to lung recovery, without presenting complications associated with its application.

Conclusion: In critically ill patients with refractory hypoxemia, but with high recovery potential, ECMO support can be considered as a rescue measure.

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Author Biographies

Indalecio Carboni Bisso, Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires

Médico egresado de la Universidad de Buenos Aires.

Especialista en Cuidados Críticos y Terapia Intensiva.

Fellowship de Neumonología Crítica en el Hospital Italiano de Buenos Aires.

Melina Garbarini, Hospital Italiano de Buenos Aires

Médico egresado de la Universidad de Buenos Aires.

Especialista en Cuidados Críticos y Terapia Intensiva.

Médico residente de Hematología.

Carolina Lockhart, Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires

Médico egresado de la Universidad de Buenos Aires.

Médico residente en Cuidados Críticos y Terapia Intensiva.

Sonia Villarroel, Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires

Médico especialista en Cuidados Críticos y Terapia Intensiva.

Director del Comité de Soporte Vital Extracorpóreo de la Sociedad Argentina de Terapia Intensiva (SATI).

José Chas, Cirugía Cardiovascular, Hospital Italiano de Buenos Aires

Médico especialista en Cirugía Cardiovascular.

Vadim Kotowicz, Cirugía Cardiovascular, Hospital Italiano de Buenos Aires

Médico especialista en Cirugía Cardiovascular.

Jefe de Servicio de Cirugía Cardiovascular en Hospital Italiano de Buenos Aires.

Eduardo San Román, Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires

Médico especialista en Cuidados Críticos y Terapia Intensiva.

Jefe del servicio de Terapia Intensiva de Adultos en Hospital Italiano de Buenos Aires.

Ex presidente de la SATI.

Marcos Las Heras, Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires

Médico especialista en Neumonología y en Cuidados Críticos y Terapia Intensiva.

Sub-jefe del servicio de Terapia Intensiva de Adultos en Hospital Italiano de Buenos Aires.

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Published

2022-03-07

How to Cite

1.
Carboni Bisso I, Garbarini M, Lockhart C, Villarroel S, Chas J, Kotowicz V, San Román E, Las Heras M. Extracorporeal membrane oxygenation in COVID-19: a case report. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2022 Mar. 7 [cited 2024 Jul. 17];79(1):65-8. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/29337

Issue

Section

Case Report