• Critical care clinics · Jul 2022

    Review

    Extracorporeal Membrane Oxygenation in COVID-19.

    • Manuel Tisminetzky, Bruno L Ferreyro, and Eddy Fan.
    • Department of Medicine, Division of Respirology, Sinai Health System and University Health Network, 585 University Avenue, 9-MaRS-9013, Toronto, Ontario M5G2G2, Canada.
    • Crit Care Clin. 2022 Jul 1; 38 (3): 535552535-552.

    AbstractExtracorporeal membrane oxygenation (ECMO) is an intervention for severe acute respiratory distress syndrome (ARDS). Although COVID-19-related ARDS has some distinct features, its overall clinical presentation resembles ARDS from other etiologies. Thus, similar evidence-based practices for its management should be applied. These include lung-protective ventilation, prone positioning, and adjuvant strategies, such as ECMO, when appropriate. Current evidence suggests that ECMO in COVID-19-related ARDS has similar efficacy and safety profile as for non-COVID-19 ARDS. The high number of severe COVID-19 cases and demand for therapies, such as ECMO, poses a unique opportunity to increase the understanding on how to optimize this intervention.Copyright © 2022 Elsevier Inc. All rights reserved.

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