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10.26355/eurrev_202011_23855

http://scihub22266oqcxt.onion/10.26355/eurrev_202011_23855
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33275268!ä!33275268

suck abstract from ncbi


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pmid33275268      Eur+Rev+Med+Pharmacol+Sci 2020 ; 24 (22): 11945-11952
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  • Extracorporeal membrane oxygenation (ECMO) in patients with COVID-19: a rapid systematic review of case studies #MMPMID33275268
  • Hu BS; -Z Hu M; Jiang LX; Yu J; Chang Y; Cao Y; Dai ZP
  • Eur Rev Med Pharmacol Sci 2020[Nov]; 24 (22): 11945-11952 PMID33275268show ga
  • OBJECTIVE: COVID-19 can cause severe acute respiratory distress syndrome (ARDS). Extracorporeal membrane oxygenation (ECMO) can support gas exchange in patients failing conventional mechanical ventilation, but its role is still controversial. We performed a rapid systematic review focusing on the use of ECMO in patients with COVID-19. MATERIALS AND METHODS: PubMed/MEDLINE, Google Scholar, Embase, the Cochrane Library, EBSCO and Ovid (updated 30 April 2020) were systematically searched. Case reports/Case series from COVID-19 patients treated with ECMO were included in the study. Three reviewers assessed, selected, and abstracted data from studies. All disparate opinions were resolved through discussion. RESULTS: We included 13 articles for systematic evaluation, including 10 case reports and 3 case series studies, with a total of 72 patients. We search for the following information: First author of articles; Patient's location; age; gender; body mass index (BMI); Comorbidities; Time on ECMO; Mode of ECMO; treatments and clinical outcomes. As of all reporting times, our data show that 38 patients (52.8%) have died definitively, 13 patients (18.0%) were still receiving ECMO treatment, 12 patients (16.7%) were alive, 7 patients (9.7%) were recovery and 2 cases (2.8%) remained hospitalized. CONCLUSIONS: ECMO plays an important role in the stabilization and survival critically ill patients with COVID-19, but the usefulness of ECMO in reducing the mortality of severe ARDS caused by COVID-19 was limited. Therefore, a larger sample size study and a comprehensive analysis of evaluating the medical value of using ECMO on COVID-19 patients are urgently required.
  • |COVID-19/physiopathology/*therapy[MESH]
  • |Extracorporeal Membrane Oxygenation/*methods[MESH]
  • |Humans[MESH]
  • |Prognosis[MESH]
  • |Respiratory Distress Syndrome/physiopathology/*therapy[MESH]


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