Tube Thoracostomy Complications in Patients With ARDS Requiring ECMO: Worse in COVID-19 Patients?
Robert B LavertyKelly M Ivins-O'KeefeAlexandra M AdamsMeaghan J FlatleyMichal J SobieszczykPhillip E MasonValerie G SamsPublished in: Military medicine (2023)
Tube thoracostomy placement in COVID-19 patients with ARDS requiring V-V ECMO is common, as are complications following initial placement. Clinicians should anticipate the need for re-intervention in this patient population. Small-bore (14Fr and smaller) pigtail catheters appeared to be safe and efficacious in this setting, but further study on tube thoracostomy management in ECMO patients is needed.
Keyphrases
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation
- mechanical ventilation
- sars cov
- end stage renal disease
- respiratory failure
- randomized controlled trial
- newly diagnosed
- chronic kidney disease
- coronavirus disease
- ejection fraction
- risk factors
- peritoneal dialysis
- prognostic factors
- palliative care
- case report
- intensive care unit