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COVID-19 CHALLENGE, IN WHICH A THREE-YEAR-OLD GIRL WON

Halyna O Lytvyn1, Mariia V Stasiv1, Volodymyr R Mishchuk1

  • 1DANYLO HALYTSKY LVIV NATIONAL MEDICAL UNIVERSITY, LVIV, UKRAINE.

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|December 13, 2021
PubMed

Insights

Severe COVID-19 in children can cause serious complications. Extracorporeal membrane oxygenation (ECMO) can be a life-saving intervention for pediatric patients with critical hypoxemia when other methods fail.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • The COVID-19 pandemic has impacted global health, with children representing a smaller but still vulnerable population.
  • While generally less affected, children can experience severe COVID-19 complications, including pneumonia and multisystem inflammatory syndrome.
  • Ukraine reported over 13,000 pediatric COVID-19 cases by late November.

Observation:

  • A case study of a three-year-old girl with severe COVID-19 complicated by bilateral pneumonia and acute respiratory distress syndrome (ARDS).
  • The patient required venovenous extracorporeal membrane oxygenation (ECMO) for one week and mechanical ventilation for 28 days.
  • Diagnosis was confirmed via PCR for SARS-CoV-2, chest X-ray, and lung ultrasound.

Findings:

  • The case demonstrated a dramatic but ultimately successful course of severe COVID-19 in a pediatric patient.
  • Despite the rarity of life-threatening COVID-19 in children, ECMO proved to be a critical, life-saving technology.
  • Timely application of ECMO was crucial for managing critical hypoxemia unresponsive to conventional respiratory support.

Implications:

  • This case highlights the potential severity of COVID-19 in children and the importance of recognizing severe presentations.
  • Extracorporeal membrane oxygenation (ECMO) represents a vital advanced life support option for pediatric cases of critical hypoxemia due to COVID-19.
  • Early consideration and implementation of ECMO can improve outcomes in critically ill children with severe respiratory failure from COVID-19.

Keywords:
ACE2SARS-CoV-2childrenextracorporeal membrane oxygenation (ECMO)respiratory failure

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