Recommendations for extracorporeal membrane oxygenation (ECMO) in COVID-19 patients : Consensus paper of the Medical University of Vienna.

• 影响指数: 2.275
• 发表时间: Nov 2020
• 来源期刊: Wien Klin Wochenschr
• DOI: 10.1007/s00508-020-01708-8
• PMID: 32621065
• 文章类型: Journal Article
• 中科院分区: Q3
• 方向: 医学
• 作者列表: Wiedemann D,Bernardi MH,Distelmaier K,Goliasch G,Hengstenberg C,Hermann A,Holzer M,Hoetzenecker K,Klepetko W,Lang G,Lassnigg A,Laufer G,Magnet IAM,Markstaller K,Röggla M,Rössler B,Schellongowski P,Simon P,Tschernko E,Ullrich R,Zimpfer D,Staudinger T,

关键词: COVID-19; Corona virus; ECMO; Extracorporeal life support; Pandemic

Mesh: Aged; Betacoronavirus; COVID-19; Child; Coronavirus Infections; Extracorporeal Membrane Oxygenation; Humans; Pandemics; Pneumonia, Viral; SARS-CoV-2

Abstract

The pandemic from the SARS-CoV‑2 virus is currently challenging healthcare systems all over the world. Maintaining appropriate staffing and resources in healthcare facilities is essential to guarantee a safe working environment for healthcare personnel and safe patient care. Extracorporeal membrane oxygenation (ECMO) represents a valuable therapeutic option in patients with severe heart or lung failure. Although only a limited proportion of COVID-19 patients develop respiratory or circulatory failure that is refractory to conventional treatment, it is of utmost importance to clearly define criteria for the use of ECMO in this steadily growing patient population. The ECMO working group of the Medical University of Vienna has established the following recommendations for ECMO support in COVID-19 patients.