From the Anesthesiology Department, Fundación Cardioinfantil-LaCardio, Universidad del Rosario, Bogotá-Colombia, Colombia.
Radiology Department, Fundación Cardioinfantil-LaCardio, Universidad del Rosario, Bogotá-Colombia, Colombia.
ASAIO J. 2024 May 1;70(5):e75-e77. doi: 10.1097/MAT.0000000000002071. Epub 2023 Oct 10.
We present a case of a patient with acute respiratory distress syndrome due to severe acute respiratory syndrome coronavirus 2 infection who underwent an extracorporeal membrane oxygenation (ECMO) run of 8 months with various configuration changes, including off-label use of cannulas. The patient eventually underwent successful double lung transplantation after a follow-up of 17 months, demonstrating the successful application of a hybrid approach and careful monitoring in the face of supply shortages during the pandemic. This case highlights the challenges faced by ECMO and transplantation centers during the pandemic and the importance of careful communication and planning to optimize patient outcomes.
我们报告了 1 例因严重急性呼吸综合征冠状病毒 2 感染导致急性呼吸窘迫综合征的患者，该患者接受了 8 个月的体外膜肺氧合（ECMO）治疗，经历了各种配置变化，包括超说明书使用插管。经过 17 个月的随访，患者最终成功进行了双肺移植，这证明了在大流行期间，采用混合方法和仔细监测可以成功应对供应短缺的问题。该病例突出了 ECMO 和移植中心在大流行期间面临的挑战，以及仔细沟通和规划以优化患者结局的重要性。
