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| Name | Class |
|---|---|
| Aarhus University Hospital | OTHER |
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Prone position ventilation was used 220 times in 44 out of 68 patients with severe COVID-19 induced ARDS treated with VV-ECMO. PPV treated patients did not benefit from PPV and the incidence of PPV related adverse events was high
Purpose: To describe the use and effects of prone position ventilation (PPV) in patients with COVID-19 induced Adult Respiratory Distress Syndrome (ARDS), treated with Veno-Venous Extracorporeal membrane oxygenation (VV-ECMO).
Methods: Nationwide retrospective analysis of all COVID-19 patients in Denmark from March 2020 - December 2021with severe ARDS and need of VV-ECMO treatment. Data on the number of patients treated with PPV, number of PPV-events, timing, the time spent in prone position, physiological response types, adverse events and outcomes are reported.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prone position ventilation | Other | Turning the patient prone for 16 hours |
| Measure | Description | Time Frame |
|---|---|---|
| 90 day mortality | all cause mortality 90 days after ECMO start | 90 days |
| Measure | Description | Time Frame |
|---|---|---|
| Time-to-wean | Time from ECMO start to succesful weaning from ECMO | From start of ECMO treatment to succesful weaning from ECMO |
| Recruitment Response to prone position ventilation | lung recruitment |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events | Number and nature of adverse events related to prone position ventilation | From ECMO start to ECMO end (all causes) |
Inclusion Criteria: patients with COVID-19 induced severe ARDS accepted for and treated with VV-ECMO in Denmark
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Exclusion Criteria:
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This is a nationwide retrospective cohort study of a cohort of 68 patients with PCR confirmed SARS-Cov-2 ARDS, treated with V-V ECMO in the two VV-ECMO centers in Denmark: Aarhus University Hospital in west Denmark and University Hospital Rigshospitalet in Copenhagen, East Denmark. Patients were admitted in the period from 17. March 2020 to 31. December 2021.
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| Name | Affiliation | Role |
|---|---|---|
| Vibeke L Jorgensen, M.D | Department of CardioThoracic Anesthesia and Intensive Care, Rigshospitalet University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aarhus University Hospital, CardioThoracic Intensive care Unit | Aarhus | 8200 | Denmark | |||
| University Hospital Rigshospitalet, department of CardioThoracic Anaesthesia and Intensive Care |
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| from prone position start to prone position end |
| Oxygenation Response to prone position ventilation | Oxygenation | from prone position start to prone position end |
| Copenhagen |
| 2100 |
| Denmark |
| ID | Term |
|---|---|
| D012128 | Respiratory Distress Syndrome |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012120 | Respiration Disorders |
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