Planning and provision of ECMO services for severe ARDS during the COVID-19 pandemic and other outbreaks of emerging infectious diseases
Identifieur interne : 000282 ( 2020/Analysis ); précédent : 000281; suivant : 000283Planning and provision of ECMO services for severe ARDS during the COVID-19 pandemic and other outbreaks of emerging infectious diseases
Auteurs : Kollengode Ramanathan [Singapour, Australie] ; David Antognini [Australie] ; Alain Combes [France] ; Matthew Paden [États-Unis] ; Bishoy Zakhary [États-Unis] ; Mark Ogino [États-Unis] ; Graeme Maclaren [Singapour, Australie] ; Daniel Brodie [États-Unis] ; Kiran Shekar [Australie]Source :
- The Lancet. Respiratory Medicine [ 2213-2600 ] ; 2020.
Abstract
WHO interim guidelines recommend offering extracorporeal membrane oxygenation (ECMO) to eligible patients with acute respiratory distress syndrome (ARDS) related to coronavirus disease 2019 (COVID-19). The number of patients with COVID-19 infection who might develop severe ARDS that is refractory to maximal medical management and require this level of support is currently unknown. Available evidence from similar patient populations suggests that carefully selected patients with severe ARDS who do not benefit from conventional treatment might be successfully supported with venovenous ECMO. The need for ECMO is relatively low and its use is mostly restricted to specialised centres globally. Providing complex therapies such as ECMO during outbreaks of emerging infectious diseases has unique challenges. Careful planning, judicious resource allocation, and training of personnel to provide complex therapeutic interventions while adhering to strict infection control measures are all crucial components of an ECMO action plan. ECMO can be initiated in specialist centres, or patients can receive ECMO during transportation from a centre that is not specialised for this procedure to an expert ECMO centre. Ensuring that systems enable safe and coordinated movement of critically ill patients, staff, and equipment is important to improve ECMO access. ECMO preparedness for the COVID-19 pandemic is important in view of the high transmission rate of the virus and respiratory-related mortality.
Url:
DOI: 10.1016/S2213-2600(20)30121-1
PubMed: 32203711
PubMed Central: 7102637
Affiliations:
- Australie, France, Singapour, États-Unis
- Delaware, Géorgie (États-Unis), Oregon, Pennsylvanie, Victoria (État), État de New York, Île-de-France
- Melbourne, Paris
- Université de Melbourne, Université nationale de Singapour
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PMC:7102637Le document en format XML
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University of Singapore</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation><affiliation wicri:level="4"><nlm:aff id="aff2">Yong Loo Lin School of Medicine, National University of Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Bond University, Robina, QLD, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Bond University, Robina, QLD</wicri:regionArea><wicri:noRegion>QLD</wicri:noRegion></affiliation></author><author><name sortKey="Antognini, David" sort="Antognini, David" uniqKey="Antognini D" first="David" last="Antognini">David Antognini</name><affiliation wicri:level="1"><nlm:aff id="aff4">University of Queensland, Brisbane, QLD, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>University of Queensland, Brisbane, QLD</wicri:regionArea><wicri:noRegion>QLD</wicri:noRegion></affiliation></author><author><name sortKey="Combes, Alain" sort="Combes, Alain" uniqKey="Combes A" first="Alain" last="Combes">Alain Combes</name><affiliation wicri:level="3"><nlm:aff id="aff5">Institute of Cardiometabolism and Nutrition, University of Paris, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Institute of Cardiometabolism and Nutrition, University of Paris, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff6">Medical Intensive Care Unit, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Medical Intensive Care Unit, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Paden, Matthew" sort="Paden, Matthew" uniqKey="Paden M" first="Matthew" last="Paden">Matthew Paden</name><affiliation wicri:level="2"><nlm:aff id="aff7">Department of Pediatrics, Emory University, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pediatrics, Emory University, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Zakhary, Bishoy" sort="Zakhary, Bishoy" uniqKey="Zakhary B" first="Bishoy" last="Zakhary">Bishoy Zakhary</name><affiliation wicri:level="2"><nlm:aff id="aff8">Division of Pulmonary and Critical Care Medicine, Oregon Health and Science University, Portland, OR, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pulmonary and Critical Care Medicine, Oregon Health and Science University, Portland, OR</wicri:regionArea><placeName><region type="state">Oregon</region></placeName></affiliation></author><author><name sortKey="Ogino, Mark" sort="Ogino, Mark" uniqKey="Ogino M" first="Mark" last="Ogino">Mark Ogino</name><affiliation wicri:level="2"><nlm:aff id="aff9">Department of Paediatrics, Division of Neonatology, Nemours Alfred I duPont Hospital for Children, Wilmington, DE, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Paediatrics, Division of Neonatology, Nemours Alfred I duPont Hospital for Children, Wilmington, DE</wicri:regionArea><placeName><region type="state">Delaware</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff10">Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Maclaren, Graeme" sort="Maclaren, Graeme" uniqKey="Maclaren G" first="Graeme" last="Maclaren">Graeme Maclaren</name><affiliation wicri:level="4"><nlm:aff id="aff1">Cardiothoracic Intensive Care Unit, National University Hospital, National University of Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Cardiothoracic Intensive Care Unit, National University Hospital, National University of Singapore</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation><affiliation wicri:level="4"><nlm:aff id="aff2">Yong Loo Lin School of Medicine, National University of Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation><affiliation wicri:level="4"><nlm:aff id="aff11">Paediatric Intensive Care Unit, The Royal Children's Hospital, University of Melbourne, Melbourne, VIC, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Paediatric Intensive Care Unit, The Royal Children's Hospital, University of Melbourne, Melbourne, VIC</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Brodie, Daniel" sort="Brodie, Daniel" uniqKey="Brodie D" first="Daniel" last="Brodie">Daniel Brodie</name><affiliation wicri:level="2"><nlm:aff id="aff12">Columbia University College of Physicians and Surgeons, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Columbia University College of Physicians and Surgeons, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff13">Centre for Acute Respiratory Failure, New York–Presbyterian Hospital, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Centre for Acute Respiratory Failure, New York–Presbyterian Hospital, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Shekar, Kiran" sort="Shekar, Kiran" uniqKey="Shekar K" first="Kiran" last="Shekar">Kiran Shekar</name><affiliation wicri:level="1"><nlm:aff id="aff3">Bond University, Robina, QLD, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Bond University, Robina, QLD</wicri:regionArea><wicri:noRegion>QLD</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4">University of Queensland, Brisbane, QLD, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>University of Queensland, Brisbane, QLD</wicri:regionArea><wicri:noRegion>QLD</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff14">Adult Intensive Care Services, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, QLD, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Adult Intensive Care Services, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, QLD</wicri:regionArea><wicri:noRegion>QLD</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff15">Critical Care Research Group, Centre of Research Excellence for Advanced Cardio-respiratory Therapies Improving OrgaN Support, Brisbane, QLD, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Critical Care Research Group, Centre of Research Excellence for Advanced Cardio-respiratory Therapies Improving OrgaN Support, Brisbane, QLD</wicri:regionArea><wicri:noRegion>QLD</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Lancet. Respiratory Medicine</title><idno type="ISSN">2213-2600</idno><idno type="eISSN">2213-2619</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><p>WHO interim guidelines recommend offering extracorporeal membrane oxygenation (ECMO) to eligible patients with acute respiratory distress syndrome (ARDS) related to coronavirus disease 2019 (COVID-19). The number of patients with COVID-19 infection who might develop severe ARDS that is refractory to maximal medical management and require this level of support is currently unknown. Available evidence from similar patient populations suggests that carefully selected patients with severe ARDS who do not benefit from conventional treatment might be successfully supported with venovenous ECMO. The need for ECMO is relatively low and its use is mostly restricted to specialised centres globally. Providing complex therapies such as ECMO during outbreaks of emerging infectious diseases has unique challenges. Careful planning, judicious resource allocation, and training of personnel to provide complex therapeutic interventions while adhering to strict infection control measures are all crucial components of an ECMO action plan. ECMO can be initiated in specialist centres, or patients can receive ECMO during transportation from a centre that is not specialised for this procedure to an expert ECMO centre. Ensuring that systems enable safe and coordinated movement of critically ill patients, staff, and equipment is important to improve ECMO access. ECMO preparedness for the COVID-19 pandemic is important in view of the high transmission rate of the virus and respiratory-related mortality.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Chen, N" uniqKey="Chen N">N Chen</name></author><author><name sortKey="Zhou, M" uniqKey="Zhou M">M Zhou</name></author><author><name sortKey="Dong, X" uniqKey="Dong X">X Dong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, D" uniqKey="Wang D">D Wang</name></author><author><name sortKey="Hu, B" uniqKey="Hu B">B Hu</name></author><author><name sortKey="Hu, C" uniqKey="Hu C">C Hu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yang, X" uniqKey="Yang X">X Yang</name></author><author><name sortKey="Yu, Y" uniqKey="Yu Y">Y Yu</name></author><author><name sortKey="Xu, J" uniqKey="Xu J">J Xu</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Cove</name></author><author><name sortKey="Caleb, Mg" uniqKey="Caleb M">MG Caleb</name></author><author><name sortKey="Teoh, Kl" uniqKey="Teoh K">KL Teoh</name></author><author><name sortKey="Maclaren, G" uniqKey="Maclaren G">G Maclaren</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bein, T" uniqKey="Bein T">T Bein</name></author><author><name sortKey="Brodie, D" uniqKey="Brodie D">D Brodie</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>France</li><li>Singapour</li><li>États-Unis</li></country><region><li>Delaware</li><li>Géorgie (États-Unis)</li><li>Oregon</li><li>Pennsylvanie</li><li>Victoria (État)</li><li>État de New York</li><li>Île-de-France</li></region><settlement><li>Melbourne</li><li>Paris</li></settlement><orgName><li>Université de Melbourne</li><li>Université nationale de Singapour</li></orgName></list><tree><country name="Singapour"><noRegion><name sortKey="Ramanathan, Kollengode" sort="Ramanathan, Kollengode" uniqKey="Ramanathan K" first="Kollengode" last="Ramanathan">Kollengode Ramanathan</name></noRegion><name sortKey="Maclaren, Graeme" sort="Maclaren, Graeme" uniqKey="Maclaren G" first="Graeme" last="Maclaren">Graeme Maclaren</name><name sortKey="Maclaren, Graeme" sort="Maclaren, Graeme" uniqKey="Maclaren G" first="Graeme" last="Maclaren">Graeme Maclaren</name><name sortKey="Ramanathan, Kollengode" sort="Ramanathan, Kollengode" uniqKey="Ramanathan K" first="Kollengode" last="Ramanathan">Kollengode Ramanathan</name></country><country name="Australie"><noRegion><name sortKey="Ramanathan, Kollengode" sort="Ramanathan, Kollengode" uniqKey="Ramanathan K" first="Kollengode" last="Ramanathan">Kollengode Ramanathan</name></noRegion><name sortKey="Antognini, David" sort="Antognini, David" uniqKey="Antognini D" first="David" last="Antognini">David Antognini</name><name sortKey="Maclaren, Graeme" sort="Maclaren, Graeme" uniqKey="Maclaren G" first="Graeme" last="Maclaren">Graeme Maclaren</name><name sortKey="Shekar, Kiran" sort="Shekar, Kiran" uniqKey="Shekar K" first="Kiran" last="Shekar">Kiran Shekar</name><name sortKey="Shekar, Kiran" sort="Shekar, Kiran" uniqKey="Shekar K" first="Kiran" last="Shekar">Kiran Shekar</name><name sortKey="Shekar, Kiran" sort="Shekar, Kiran" uniqKey="Shekar K" first="Kiran" last="Shekar">Kiran Shekar</name><name sortKey="Shekar, Kiran" sort="Shekar, Kiran" uniqKey="Shekar K" first="Kiran" last="Shekar">Kiran Shekar</name></country><country name="France"><region name="Île-de-France"><name sortKey="Combes, Alain" sort="Combes, Alain" uniqKey="Combes A" first="Alain" last="Combes">Alain Combes</name></region><name sortKey="Combes, Alain" sort="Combes, Alain" uniqKey="Combes A" first="Alain" last="Combes">Alain Combes</name></country><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Paden, Matthew" sort="Paden, Matthew" uniqKey="Paden M" first="Matthew" last="Paden">Matthew Paden</name></region><name sortKey="Brodie, Daniel" sort="Brodie, Daniel" uniqKey="Brodie D" first="Daniel" last="Brodie">Daniel Brodie</name><name sortKey="Brodie, Daniel" sort="Brodie, Daniel" uniqKey="Brodie D" first="Daniel" last="Brodie">Daniel Brodie</name><name sortKey="Ogino, Mark" sort="Ogino, Mark" uniqKey="Ogino M" first="Mark" last="Ogino">Mark Ogino</name><name sortKey="Ogino, Mark" sort="Ogino, Mark" uniqKey="Ogino M" first="Mark" last="Ogino">Mark Ogino</name><name sortKey="Zakhary, Bishoy" sort="Zakhary, Bishoy" uniqKey="Zakhary B" first="Bishoy" last="Zakhary">Bishoy Zakhary</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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