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Quick tip for families in intensive care: When should ECMO be initiated for COVID-19 ARDS and proning isn’t working?
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Here is also a link to case studies
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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.
Today’s tip is about when should ECMO be initiated when someone is in ARDS and proned already, and proning isn’t working. So let’s look at a case study here. We are currently working with a client. The client contacted us yesterday, sharing that their 52-year old husband is in intensive care with COVID-19 and has now got a full-blown ARDS/lung failure picture.
The client got intubated last Monday. Today, the time of the recording of this video is on a Saturday. The client got intubated on a Monday for COVID-19 ARDS/lung failure. He ended up on a ventilator in an induced coma, he ended up paralyzed then they started to prone him, which is often the first-line option of treatment when someone is in ARDS for COVID-19 because the lungs are more or less shutting down. The P/F ratio, the perfusion ratio, is very low. Lungs are shutting down. Patients often end up on a 100% of oxygen on the ventilator. They often end up on nitric oxide. They often end up on epoprostenol/Flolan nebulizers. They often end up on remdesivir and steroids to treat the ARDS picture.
Continuation...
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