PMID- 35284694 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220315 IS - 2452-2473 (Print) IS - 2452-2473 (Electronic) IS - 2452-2473 (Linking) VI - 22 IP - 1 DP - 2022 Jan-Mar TI - Extracorporeal membrane oxygenation experiences during COVID-19 pandemic, third wave with younger patients: A retrospective observational study. PG - 36-43 LID - 10.4103/2452-2473.336106 [doi] AB - OBJECTIVES: In this article, the results of severe coronavirus disease 2019 (COVID-19) cases followed with extracorporeal membrane oxygenation (ECMO) support in a 3-month period in the third wave when there were an increased number of cases of young patients in our intensive care unit (ICU) were presented. METHODS: The study was carried out with all COVID-19 patients who were given ECMO support in our tertiary referral hospital ICU after obtaining the consent of the Ministry of Health Scientific Research Platform and after the approval of the local ethics committee. Patient data were obtained retrospectively from intensive care bedside follow-up charts and computer records. The demographic and clinical characteristics of the patients were presented in average, median, and percentages. The data of the patients were evaluated and compared with the current literature. RESULTS: ECMO treatment was applied in seven patients who were followed up with severe COVID-19 pneumonia in the last 3 months. Venovenous extracorporeal membrane oxygenation (VV-ECMO) was applied to all patients. Five (71.5%) of seven patients were weaned from ECMO. Four (57.2%) of seven patients were discharged from the ICU and hospital in good health. While two of the patients had a cesarean section (C/S) before ECMO, one patient underwent C/S under ECMO. All three newborns were delivered via C/S and all were premature (C/S dates were 35 weeks, 32 weeks, and 27 weeks), and all were discharged from the hospital in good health. CONCLUSION: Our experience shows that ECMO in COVID-19 patients is a lifesaving treatment option that can be successfully applied in severe acute respiratory distress syndrome cases who do not respond to conventional treatments. CI - Copyright: (c) 2022 Turkish Journal of Emergency Medicine. FAU - Kucuk, Ahmet Oguzhan AU - Kucuk AO AUID- ORCID: 0000-0002-6993-0519 AD - Department of Chest Diseases, Division of Intensive Care Medicine, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. FAU - Kucuk, Mehtap Pehlivanlar AU - Kucuk MP AUID- ORCID: 0000-0003-2247-4074 AD - Department of Chest Diseases, Division of Intensive Care Medicine, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. FAU - Aycicek, Olcay AU - Aycicek O AUID- ORCID: 0000-0002-0697-5680 AD - Department of Chest Diseases, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. FAU - Altun, Gokalp AU - Altun G AUID- ORCID: 0000-0003-1116-6594 AD - Department of Cardiovascular Surgery, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. FAU - Ozdemir, Ahmet Coskun AU - Ozdemir AC AUID- ORCID: 0000-0003-4356-0158 AD - Department of Cardiovascular Surgery, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. LA - eng PT - Journal Article DEP - 20220120 PL - India TA - Turk J Emerg Med JT - Turkish journal of emergency medicine JID - 101681782 PMC - PMC8862797 OTO - NOTNLM OT - Coronavirus disease 2019 OT - SARS-CoV-2 OT - extracorporeal membrane oxygenation OT - mortality OT - pregnancy COIS- Conflicts of interest None Declared. EDAT- 2022/03/15 06:00 MHDA- 2022/03/15 06:01 PMCR- 2022/01/20 CRDT- 2022/03/14 06:00 PHST- 2021/09/19 00:00 [received] PHST- 2021/11/04 00:00 [revised] PHST- 2021/11/16 00:00 [accepted] PHST- 2022/03/14 06:00 [entrez] PHST- 2022/03/15 06:00 [pubmed] PHST- 2022/03/15 06:01 [medline] PHST- 2022/01/20 00:00 [pmc-release] AID - TJEM-22-36 [pii] AID - 10.4103/2452-2473.336106 [doi] PST - epublish SO - Turk J Emerg Med. 2022 Jan 20;22(1):36-43. doi: 10.4103/2452-2473.336106. eCollection 2022 Jan-Mar.