Extracorporeal CO < sub > 2 < /sub > removal and renal replacement therapy in acute severe respiratory failure in COVID-19 pneumonia: Case report

We report a first case of prolonged ECCO2 R support in 38 year male with severe COVID-19 pneumonia refractory to conventional support. He was admitted tachypneic and oxygen saturation 71% without supplementary oxygen. The patient's clinical condition worsens with severe respiratory failure, increasing the oxygen requirement and initiating MV in the prone position. After 21 days of protective MV, PaCO2 rise to 96.8 mmHg, making it necessary to connect to an ECCO2 R system coupled continuous veno-venous hemodialysis (CVVHD). However, due to the lack of availability of equipment in the context of the pandemic, a pediatric gas exchange membrane adapted to CVVHD allowed to maintain the removal of CO2 until completing 27 days, being finally disconnected from the system without complications and with a satisfactory evolution.PMID:33969909 | DOI:10.1111/sdi.12980

Source: Seminars in Dialysis - May 10, 2021 Category: Urology & Nephrology Authors: Ignacio Gacit úa Alondra Fr ías Mar ía E Sanhueza Sergio Bustamante Rodrigo Cornejo Andrea Salas Ximena Guajardo Katherine Torres Enzo Figueroa Canales Eduardo Tobar Roc ío Navarro Carlos Romero Source Type: research