COVID-19, ECMO
Conditions
Brief summary
assess the safety and effectiveness of using low-flow extracorporeal membrane oxygenation(CO2 removal) driving by CVVH machine in the severe NCP patients
Interventions
With aim to clear CO2 and improve oxygenation, a low flow ECMO treatment(using oxgyenator membrane of kid type ) driving by CVVH machine will be performed in the NCP with severe ARDS
Sponsors
Study design
Eligibility
Inclusion criteria
* 1\. NCP with severe acute respiratory distress syndrome with ratio of partial pressure of arterial oxygen over fraction of inspired oxygen (PaO2:FiO2)\<150 and PEEP \>10cmH2O * 2\. Driving pressure\> 20cmH2O * 3\. RR\>30bpm * 4.PaCO2\>55cmH2O and/or PH\>7.3
Exclusion criteria
* 1\. poor venous vascular condition and unavaible for central venous catheter placement
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PaCO2 | Day 1 | PaCO2 from blood gas analysis |
| Driving Pressure | Day 1 | Driving Pressure monitor by ventilator |
| Tidal volume | Day 1 | Tidal volume monitor by ventilator |
Countries
China