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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| prolonged veno-venous extracorporeal membrane oxygenation | Critically affected patients treated with veno-venous extracorporeal membrane oxygenation (VV-ECMO). Based on severe acute respiratory distress syndrome (ARDS) and prolonged therapy for more than 2 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Outcome | Other | Mortality rate of prolonged therapy. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | Mortality rate under ongoing veno-venous extracorporeal membrane oxygenation over time | During intensive care treatment (Usually within 25 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Major bleeding | Number of patients with critical bleeding events during therapy, needing red blood cell transfusion | During intensive care treatment (Usually within 25 weeks) |
| critical device error |
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Inclusion Criteria:
veno-venous extracorporeal membrane oxygenation
Exclusion Criteria:
veno-arterial extracorporeal membrane oxygenation
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Critically affected patients treated with veno-venous extracorporeal membrane oxygenation (VV-ECMO). Based on severe acute respiratory distress syndrome (ARDS) and prolonged therapy for more than 2 weeks.
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| Name | Affiliation | Role |
|---|---|---|
| Armin N Flinspach, M.D. | JWGoethe University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Frankfurt | Frankfurt am Main | Hesse | 60590 | Germany |
Sharing patient data is not possible due to national and local legal restrictions.
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Number of patients with a critical device errors of the veno-venous extracorporeal membrane oxygenation device.
| During intensive care treatment (Usually within 25 weeks) |