Author: Taniguchi, Hayato; Ogawa, Fumihiro; Honzawa, Hiroshi; Yamaguchi, Keishi; Niida, Shoko; Shinohara, Mafumi; Takahashi, Kohei; Iwashita, Masayuki; Abe, Takeru; Kubo, Sousuke; Kudo, Makoto; Takeuchi, Ichiro
Title: Veno-venous extracorporeal membrane oxygenation for severe pneumonia: COVID-19 case in Japan Document date: 2020_4_14
ID: 4rj30h98_12
Snippet: Second, the recognition and treatment of the cause of the worsening oxygenation might be appropriate. One of the causes of worsening oxygenation might be overvolume due to acute kidney injury in chronic kidney disease. However, we believed that the cause of worsening oxygenation was not only overvolume but also aggravation of ARDS by COVID-19 pneumonia. According to the computed tomography, COVID-19 pneumonia progressed on day 3. The radiologist .....
Document: Second, the recognition and treatment of the cause of the worsening oxygenation might be appropriate. One of the causes of worsening oxygenation might be overvolume due to acute kidney injury in chronic kidney disease. However, we believed that the cause of worsening oxygenation was not only overvolume but also aggravation of ARDS by COVID-19 pneumonia. According to the computed tomography, COVID-19 pneumonia progressed on day 3. The radiologist suggested that inflammatory findings were stronger than pulmonary congestion. Therefore, we introduced ECMO to stabilize oxygenation and rest the lungs. We then removed excessive water and improve metabolic acidosis by CRRT.
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