2019年冠状病毒病(COVID-19)的快速传播已经超过了许多医院系统的标准容量,导致了前所未有的资源稀缺,包括已经有限的体外膜氧合(ECMO)资源。由于危重病人的数量和病毒的高度传染性,对ECMO候选人资格的重要考虑对于适当分配资源以及确保保护卫生保健人员至关重要。作为大流行中心的领先儿科ECMO计划,我们建立了新的方案和指南,以便在接受成年患者的同时继续照顾我们的儿科患者,以减轻我们医院系统的负担。这篇文章描述了我们在咨询方面的变化,插管,和需要ECMO的COVID-19阳性患者的日常护理,并讨论了确保我们的ECMO医疗保健人员安全和资源优化分配的策略。证据级别:V级
The rapid spread of coronavirus disease 2019 (COVID-19) has exceeded the standard capacity of many hospital systems and led to an unprecedented scarcity of resources, including the already limited resource of extracorporeal membrane oxygenation (ECMO). With the large amount of critically ill patients and the highly contagious nature of the virus, significant consideration of ECMO candidacy is crucial for both appropriate allocation of resources as well as ensuring protection of health care personnel. As a leading pediatric ECMO program in the epicenter of the pandemic, we established new protocols and
guidelines in order to continue caring for our pediatric patients while accepting adult patients to lessen the burden of our hospital system which was above capacity. This article describes our changes in consultation, cannulation, and daily care of COVID-19 positive patients requiring ECMO as well as discusses strategies for ensuring safety of our ECMO healthcare personnel and optimal allocation of resources. LEVEL OF EVIDENCE: Level V.