Published in:
01-01-2021 | Acute Respiratory Distress-Syndrome | COVID-19 in Intensive Care
What’s new in ECMO for COVID-19?
Authors:
Graeme MacLaren, Alain Combes, Daniel Brodie
Published in:
Intensive Care Medicine
|
Issue 1/2021
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Excerpt
The first studies of coronavirus disease 2019 (COVID-19) from China reported high mortality rates in patients supported with extracorporeal membrane oxygenation (ECMO) [
1]. Very little was known about the natural history of the virus, prompting both speculation about the precise role of ECMO [
2] and recommendations for its use [
3,
4]. Many clinicians were concerned about using high-cost, resource-intensive therapies for a small, select proportion of critically ill patients if national healthcare systems were in danger of being overwhelmed. It was unclear whether the reasons underlying these initial, apparently high mortality rates related to the pathophysiology of the virus itself or the use of ECMO by overburdened clinicians in suboptimal circumstances. Data has recently emerged outlining the potential role of ECMO for COVID-19 with greater clarity. …