Extracorporeal Membrane Oxygenation Complication, Outcome, Fatal
Conditions
Brief summary
In the context of the coronavirus (COVID-19) pandemic, healthcare systems worldwide faced an unprecedented shortage of severe ARDS. Critically affected patients were treated with veno-venous extracorporeal membrane oxygenation (VV-ECMO) for complete respiratory failure early in the pandemic. Due to a shortage of resources in the sense of terminal equipment and adequately trained personnel with appropriate expertise in many countries and regions, a strict selection of suitable patients was made. Repeatedly, it was observed that patients under VV-ECMO also needed several weeks to recover sufficiently to generate device sufficient gas exchange. Due to the scarcity of VV-ECMO resources outside of the pandemic, the question arose whether a prolonged therapy still holds a sufficient prospect of success and what the course of treatment of such patients would be like.
Interventions
Mortality rate of prolonged therapy.
Sponsors
Study design
Eligibility
Inclusion criteria
veno-venous extracorporeal membrane oxygenation
Exclusion criteria
veno-arterial extracorporeal membrane oxygenation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | During intensive care treatment (Usually within 25 weeks) | Mortality rate under ongoing veno-venous extracorporeal membrane oxygenation over time |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Major bleeding | During intensive care treatment (Usually within 25 weeks) | Number of patients with critical bleeding events during therapy, needing red blood cell transfusion |
| critical device error | During intensive care treatment (Usually within 25 weeks) | Number of patients with a critical device errors of the veno-venous extracorporeal membrane oxygenation device. |
Countries
Germany