Extracorporeal membrane oxygenation in the complex therapy for septic shock in a patient with severe lung damage caused by COVID-19
https://doi.org/10.35401/2500-0268-2021-22-2-52-57
Abstract
Extracorporeal membrane oxygenation (ECMO) has been used for more than 20 years in the treatment of severe respiratory distress syndrome. However, ECMO in some categories of patients is not sufficiently covered in the literature, due to a small number of registered cases. This group includes pregnant women and women in labor. During the intensive care of such patients, the entire available range of therapeutic manipulations and measures that can favorably affect the outcome of the disease should be used. We have describe a clinical case of successful ECMO in a patient with novel coronavirus disease (COVID-19) and obstetric sepsis developed in the early postpartum period.
About the Authors
E. A. Popov
Research Institute – Ochapovsky Regional Hospital no. 1
Russian Federation
Russian Federation
Evgeny A. Popov, Anesthesiologist and Rheumatologist, Head of the Department of Anaesthesiology and Resuscitation no. 10
167, 1 Maya str., Krasnodar, 350086
V. A. Koriachkin
St. Petersburg State Pediatric Medical University
Russian Federation
Russian Federation
Viktor A. Koriachkin, Dr. of Sci. (Med.), Professor, Department of Anesthesiology
St. Petersburg
I. Yu. Sholin
Research Institute – Ochapovsky Regional Hospital no. 1
Russian Federation
Russian Federation
Ivan Yu. Sholin, Cand. of Sci. (Med.), Anesthesiologist and Rheumatologist, Resuscitation Department no. 10
Krasnodar
A. A. Savenkov
Research Institute – Ochapovsky Regional Hospital no. 1
Russian Federation
Russian Federation
Andrey A. Savenkov, Anesthesiologist and Rheumatologist, Resuscitation Department no. 10
Krasnodar
V. A. Porhanov
Research Institute – Ochapovsky Regional Hospital no. 1;
Kuban State Medical University
Russian Federation
Russian Federation
Vladimir A. Porhanov, Academician of the Russian Academy of Sciences, Dr. of Sci. (Med.), Professor, Chief Doctor of Research Institute – Ochapovsky Regional Hospital no. 1; Head of the Department of Oncology with the Course of Thoracic Surgery, Faculty of Advanced Training and Professional Retraining of Specialists, Kuban State Medical University
Krasnodar
References
1. Diagnosis and intensive care of acute respiratory distress syndrome (Clinical recommendations of the All-Russian Public Organization "Federation of Anesthesiologists and Resuscitators"). Anesthesiology and resuscitation. 2020;(2)5-39. (In Russ.). https://doi.org/10.17116/anaesthesiology20200215
2. Cho HJ, Heinsar S, Jeong IS, Shekar K, Li Bassi G, Jung JS, et al. ECMO use in COVID-19: lessons from past respiratory virus outbreaks-a narrative review. Crit Care. 20206;24(1):301. PMID: 32505217. PMCID: PMC7275850. https://doi.org/10.1186/s13054-020-02979-3
3. Rajdev K, Farr LA, Saeed MA, Hooten R, Baus J, Boer B. A Case of Extracorporeal Membrane Oxygenation as a Salvage Therapy for COVID-19-Associated Severe Acute Respiratory Distress Syndrome: Mounting Evidence. J Investig Med High Impact Case Rep. 2020;8:2324709620957778. PMID: 32911986. PMCID: PMC7488892. https://doi.org/10.1177/2324709620957778
4. Kayem G, Lecarpentier E, Deruelle P, Bretelle F, Azria E, Blanc J, et al. A snapshot of the Covid-19 pandemic among pregnant women in France. J Gynecol Obstet Hum Reprod. 2020;49(7):101826. PMID: 32505805. PMCID: PMC7270811. https://doi.org/10.1016/j.jogoh.2020.101826
5. Barrantes JH, Ortoleva J, O'Neil ER, Suarez EE, Beth Larson S, et al. Successful Treatment of Pregnant and Postpartum Women With Severe COVID-19 Associated Acute Respiratory Distress Syndrome With Extracorporeal Membrane Oxygenation. ASAIO J. 2021;67(2):132–136. PMID: 33229971. PMCID: PMC7846250. https://doi.org/10.1097/MAT.0000000000001357
6. Hou L, Li M, Guo K, Wang W, Li B, Li J, Yuan Y. First successful treatment of a COVID-19 pregnant woman with severe ARDS by combining early mechanical ventilation and ECMO. Heart Lung. 2021;50(1):33–36. PMID: 32948334. PMCID: PMC7441876. https://doi.org/10.1016/j.hrtlng.2020.08.015
7. Schmidt M, Bailey M, Sheldrake J, Hodgson C, Aubron C, Rycus PT, et al. Predicting survival after extracorporeal membrane oxygenation for severe acute respiratory failure. The Respiratory Extracorporeal Membrane Oxygenation Survival Prediction (RESP) score. Am J Respir Crit Care Med. 2014;189(11):1374–82. PMID: 24693864. https://doi.org/10.1164/rccm.201311-2023OC
8. Bonet M, Souza JP, Abalos E, et al. The global maternal sepsis study and awareness campaign (GLOSS): study protocol. Reprod Health. 2018;15(1):16. https://doi.org/10.1186/s12978-017-0437-8
9. Raith EP, Udy AA, Bailey M, et al. Prognostic Accuracy of the SOFA Score, SIRS Criteria, and qSOFA Score for In-Hospital Mortality Among Adults With Suspected Infection Admitted to the Intensive Care Unit. JAMA. 2017;317(3):290–300. https://doi.org/10.1001/jama.2016.20328
10. Gromova EG, Loginov SP, Kiselevsky MV, Krotenko NP, Dolzhikova YuI, Vlasenko RYa, Kuznetsova LS. LPS-adsorber in patients with septic shock. Medical alphabet. 2018;3(28): 32–36. (In Russ.). https://doi.org/10.21320/1818-474x-2018-3-46-52
11. Skopets AA, Zharov AS, Potapov SI, Afonin ES, Andreeva MD, Galdina TV, et al. The first case of cesarean section in a pregnant woman during extracorporeal membrane oxygenation in the Russian Federation. Bulletin of intensive care named after A. I. Saltanov. 2019;3:90–97. (In Russ.). https://doi.org/10.21320/1818-474X-2019-3-90-97
12. Herpain A, Bouchez S, Girardis M, et al. Use of Levosimendan in Intensive Care Unit Settings: An Opinion Paper. J Cardiovasc Pharmacol. 2019;73(1):3–14. https://doi.org/10.1097/FJC.0000000000000636
Review
For citations:
Popov E.A., Koriachkin V.A., Sholin I.Yu., Savenkov A.A., Porhanov V.A. Extracorporeal membrane oxygenation in the complex therapy for septic shock in a patient with severe lung damage caused by COVID-19. Innovative Medicine of Kuban. 2021;(2):52-57. (In Russ.) https://doi.org/10.35401/2500-0268-2021-22-2-52-57
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