A case of long - term extracorporeal membrane oxygenation in the treatment of acute respiratory distress syndrome in a patient with COVID-19



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Abstract

The most common clinical manifestation of COVID-19 is a bilateral lung disease, with acute respiratory distress syndrome (ARDS) developing in 3-4% of cases. The experience of using extracorporeal membrane oxygenation with the ineffectiveness of mechanical ventilation in the treatment of ARDS in patients with coronavirus infection is insignificant. The article demonstrates a case of long - term (30 days) use of extracorporeal membrane oxygenation in a patient with viral total lung disease, CT-4, severe acute respiratory distress syndrome. The possibility and efficiency of the long - term application of the method are presented. Anticoagulant therapy using low molecular weight heparin (enoxaparin) is adequate, reduces the risk of bleeding, determines the duration and effectiveness of using a membrane oxygenator, and reduces the likelihood of thrombosis of the extracorporeal circuit, and preserves its oxygenating function.

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About the authors

E. V Kryukov

The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: evgeniy.md@mail.ru
Moscow, Russia

V. A Chernetsov

The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Moscow, Russia

A. E Shestopalov

The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Moscow, Russia

V. V Stets

The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Moscow, Russia

A. G Zhuravlev

The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Moscow, Russia

V. V Morgachev

The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Moscow, Russia

D. S Meshcheryakov

The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Moscow, Russia

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