Quick tip for families in intensive care: COVID-19 and ARDS, when is ECMO an option?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-covid-19-and-ards-when-is-ecmo-an-option-2/

Quick tip for families in intensive care: COVID-19 and ARDS, when is ECMO an option?

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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.

So in my last quick tip, I talked about a client that was in ICU with ARDS after COVID infection, and the client ended up proned and then was doing very poorly despite being proned, despite being on epoprostenol/Flolan nebulizers, despite being on standard therapy for ARDS, for COVID, which is steroids and remdesivir, an antiviral medication.

So they were doing all the conventional things that they were meant to do for someone with COVID/ARDS. And with FIO2s going up on the ventilator up to a hundred percent and with PEEP levels going up to 15. So what the intensive care team was missing or suggesting to the family or offering to the family that ECMO is also an option if proning doesn’t work. That never came on the table. So the intensive care team, (a) wasn’t transparent and (b) was potentially misleading the client’s family because they didn’t offer everything that is available to them for treatment.

So lo and behold, we spoke to the intensive care team. After we made the family aware that ECMO should be offered in a situation like this. So we spoke to the intensive care team and the intensive care team only made excuses for why ECMO wasn’t offered. They weren’t really excuses that were believable.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-covid-19-and-ards-when-is-ecmo-an-option-2/