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印度情景中的严重COVID-19的体外膜氧化:单一中心回顾性研究
Sulakshana Sulakshana1, Dipanjan Chatterjee2, Arpan Chakraborty2
1Department of Anaesthesiology and Critical Care, Heritage Institute of Medical Sciences, Varanasi, Uttar Pradesh, India.
概括
印度严重COVID-19的体外膜氧化 (ECMO) 显示了50%的存活率,败血症是最常见的并发症. 建议在适当的COVID-19病例中考虑早期ECMO,尽管运行时间较长.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 支持心肺血管的支持.
背景情况:
- 最初的报道表明,重症COVID-19患者接受体外膜氧化治疗 (ECMO) 的结果不佳.
- 身体外生命支持组织 (ELSO) 的指导方针仅在传统疗法耗尽后才建议ECMO.
- 延迟ECMO启动可能会导致更长的治疗时间,可能会否定资源保护的好处.
研究的目的:
- 分析印度用ECMO治疗的严重COVID-19患者的社会人口统计特征.
- 评估使用的ECMO类型和相关并发症.
- 在印度背景下评估ECMO治疗严重COVID-19的结果.
主要方法:
- 对人口统计和临床结果数据的回顾性分析.
- 包括所有因COVID-19患者治疗ECMO而导致的严重ARDS.
- 数据从2020年6月到2021年5月在印度的单一三级护理中心收集.
主要成果:
- 79名患者接受治疗,平均年龄为43岁,平均BMI为37.
- 50%的患者存活下来,平均ECMO持续时间为17天.
- 败血症 (65%) 和急性损伤 (39%) 是最常见的并发症.
结论:
- 印度COVID-19患者的ECMO结果与非COVID-19患者相似,尽管ECMO运行时间更长.
- 在适当的严重COVID-19病例中,ECMO应该被认为是可行的治疗选择.
- 由于产能限制,流行情况可能需要更严格的ECMO考虑标准.
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