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Extracorporeal Membrane Oxygenation for COVID-19 Treatment in a Community Hospital
Daniel I Loube1, Kashif Z Hassan1, Sang H Lee1
1Cardiothoracic Surgery Division, Regional Medical Center of San Jose, San Jose, CA.
Abstract:
Description Coronavirus disease 2019 (COVID-19) may result in severe acute respiratory disease syndrome (ARDS) and death. For COVID-19 patients failing mechanical ventilation, extra corporeal membrane oxygenation (ECMO) has been used with varying efficacy in academic medical centers and quaternary referral centers. We report the successful use of veno-venous (VV) ECMO to treat refractory ARDS due to COVID-19 in a community hospital setting with a survival to discharge rate of 71% over a 3 month period. In a community hospital with adequate resources, VV ECMO can be an effective rescue therapy for selected COVID-19 patients who fail all other available treatments.
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