Abstract

The ongoing coronavirus pandemic presents an unprecedented challenge to the healthcare system. Originating in Wuhan, China, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly and extensively and has overwhelmed hospital systems around the world. COVID-19 associated respiratory failure requiring intubation and mechanical ventilation is treated by low lung volume ventilation strategies per ARDS-NET protocol [1]. When patients develop refractory hypoxemia despite standard care and proning, the next available intervention is Extracorporeal membrane oxygenation (ECMO).

Highlights

  • The ongoing coronavirus pandemic presents an unprecedented challenge to the healthcare system

  • COVID-19 associated respiratory failure requiring intubation and mechanical ventilation is treated by low lung volume ventilation strategies per ARDS-NET protocol [1]

  • We report a case of Extracorporeal membrane oxygenation (ECMO) deployment in a young female with SARS-CoV-2 induced refractory hypoxic respiratory failure who failed standard of care treatment with proning

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Summary

Introduction

The ongoing coronavirus pandemic presents an unprecedented challenge to the healthcare system. Originating in Wuhan, China, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly and extensively and has overwhelmed hospital systems around the world. COVID-19 associated respiratory failure requiring intubation and mechanical ventilation is treated by low lung volume ventilation strategies per ARDS-NET protocol [1]. When patients develop refractory hypoxemia despite standard care and proning, the available intervention is Extracorporeal membrane oxygenation (ECMO). Mortality benefit from employing ECMO in COVID 19 is still unclear. We describe a case of a young, obese SARS- CoV-2 positive patient who benefited from the use of ECMO

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