Early Extracorporeal Membrane Oxygenation in COVID-19 with Bullous Lung Disease on Mechanical Ventilation: A Case Report

Introduction: Extracorporeal membrane oxygenation (ECMO) has been well described as a viable option for patients in need of temporary supplemental oxygenation when ventilator capabilities have failed to augment a patient’s condition. Less described is the potential use of ECMO for lung protection in...

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Autores principales:	Jason Unold, Brandon Marshal, Tolupe Sonuyi
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/56d8e8566e074e98834e4865caf12511
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id	oai:doaj.org-article:56d8e8566e074e98834e4865caf12511
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spelling	oai:doaj.org-article:56d8e8566e074e98834e4865caf125112021-11-23T20:02:52ZEarly Extracorporeal Membrane Oxygenation in COVID-19 with Bullous Lung Disease on Mechanical Ventilation: A Case Report2474-252X10.5811/cpcem.2021.6.52898https://doaj.org/article/56d8e8566e074e98834e4865caf125112021-11-01T00:00:00Zhttps://escholarship.org/uc/item/7kr6z6fghttps://doaj.org/toc/2474-252XIntroduction: Extracorporeal membrane oxygenation (ECMO) has been well described as a viable option for patients in need of temporary supplemental oxygenation when ventilator capabilities have failed to augment a patient’s condition. Less described is the potential use of ECMO for lung protection in the setting of gigantic bullae despite initially adequate oxygenation. Case Report: We describe how the early incorporation of ECMO in a patient with coronavirus disease 2019 and necrotizing pneumonia complicated by multiple large and gigantic bullae led to a favorable outcome. Conclusion: The decision to start ECMO early, despite room for ventilator oxygenation adjustments, may have helped to prevent potential, significant complications such as tension pneumothorax while on positive pressure, thus potentially optimizing the outcome in this patient.Jason UnoldBrandon MarshalTolupe SonuyieScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Jason Unold Brandon Marshal Tolupe Sonuyi Early Extracorporeal Membrane Oxygenation in COVID-19 with Bullous Lung Disease on Mechanical Ventilation: A Case Report
description	Introduction: Extracorporeal membrane oxygenation (ECMO) has been well described as a viable option for patients in need of temporary supplemental oxygenation when ventilator capabilities have failed to augment a patient’s condition. Less described is the potential use of ECMO for lung protection in the setting of gigantic bullae despite initially adequate oxygenation. Case Report: We describe how the early incorporation of ECMO in a patient with coronavirus disease 2019 and necrotizing pneumonia complicated by multiple large and gigantic bullae led to a favorable outcome. Conclusion: The decision to start ECMO early, despite room for ventilator oxygenation adjustments, may have helped to prevent potential, significant complications such as tension pneumothorax while on positive pressure, thus potentially optimizing the outcome in this patient.
format	article
author	Jason Unold Brandon Marshal Tolupe Sonuyi
author_facet	Jason Unold Brandon Marshal Tolupe Sonuyi
author_sort	Jason Unold
title	Early Extracorporeal Membrane Oxygenation in COVID-19 with Bullous Lung Disease on Mechanical Ventilation: A Case Report
title_short	Early Extracorporeal Membrane Oxygenation in COVID-19 with Bullous Lung Disease on Mechanical Ventilation: A Case Report
title_full	Early Extracorporeal Membrane Oxygenation in COVID-19 with Bullous Lung Disease on Mechanical Ventilation: A Case Report
title_fullStr	Early Extracorporeal Membrane Oxygenation in COVID-19 with Bullous Lung Disease on Mechanical Ventilation: A Case Report
title_full_unstemmed	Early Extracorporeal Membrane Oxygenation in COVID-19 with Bullous Lung Disease on Mechanical Ventilation: A Case Report
title_sort	early extracorporeal membrane oxygenation in covid-19 with bullous lung disease on mechanical ventilation: a case report
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/56d8e8566e074e98834e4865caf12511
work_keys_str_mv	AT jasonunold earlyextracorporealmembraneoxygenationincovid19withbullouslungdiseaseonmechanicalventilationacasereport AT brandonmarshal earlyextracorporealmembraneoxygenationincovid19withbullouslungdiseaseonmechanicalventilationacasereport AT tolupesonuyi earlyextracorporealmembraneoxygenationincovid19withbullouslungdiseaseonmechanicalventilationacasereport
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Early Extracorporeal Membrane Oxygenation in COVID-19 with Bullous Lung Disease on Mechanical Ventilation: A Case Report

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