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Extracorporeal Membrane Oxygenation for Coronavirus Disease 2019: Expert Recommendations from The Korean Society for

In Seok Jeong1, Woong-Han Kim2, Jong Hyun Baek3

  • 1Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.

Journal of Chest Surgery
|March 26, 2021
PubMed

Insights

Extracorporeal membrane oxygenation (ECMO) may aid COVID-19 patients, but evidence is limited. This study reviews literature and Korean registry data to assess ECMO efficacy and provide expert recommendations for its use in treating coronavirus disease 2019.

Area of Science:

  • Critical Care Medicine
  • Infectious Diseases
  • Cardiopulmonary Support

Background:

  • The COVID-19 pandemic has seen a rapid increase in cases and deaths globally.
  • Extracorporeal membrane oxygenation (ECMO) is a life support technology, but its efficacy for COVID-19 remains debated among experts.
  • Existing ECMO guidelines may not fully align with the Korean medical system and real-world practices.

Purpose of the Study:

  • To evaluate the efficacy of ECMO in treating patients with COVID-19.
  • To develop expert recommendations for ECMO application in the context of the Korean healthcare system.
  • To bridge the gap between existing literature and practical clinical decision-making for ECMO in COVID-19.

Main Methods:

  • Systematic literature review of studies on ECMO for COVID-19 patients.
  • Analysis of data from the Korean COVID-19 ECMO registry.
  • Synthesis of findings to formulate expert recommendations.

Main Results:

  • Evidence on ECMO efficacy for COVID-19 is still evolving, with varied outcomes reported in the literature.
  • Korean registry data provides insights into real-world application and outcomes of ECMO in COVID-19 patients.
  • Specific challenges and considerations for ECMO implementation within the Korean medical system were identified.

Conclusions:

  • Further research is needed to solidify the role of ECMO in COVID-19 management.
  • Tailored recommendations based on national data are crucial for optimizing ECMO use in Korea.
  • A balanced approach considering evidence and local context is essential for ECMO decision-making in COVID-19.

Keywords:
Acute respiratory distress syndromeCOVID-19Cardiogenic shockExtracorporeal membrane oxygenationPandemics

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