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KMID : 1164620210540010002
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Korean Journal of Thoracic and Cardiovascular Surgery
2021 Volume.54 No. 1 p.2 ~ p.8
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Extracorporeal Membrane Oxygenation for Coronavirus Disease 2019: Expert Recommendations from The Korean Society for Thoracic and Cardiovascular Surgery
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Jeong In-Seok
Kim Woong-Han
Baek Jong-Hyun
Choi Chang-Hyu
Choi Chang-Woo
Chung Euy-Suk
Jang Jae-Seok
Jang Woo-Sung
Jung Han-Na
Jung Jae-Seung
Kang Pil-Je
Kim Dong-Jung
Kim Do-Wan
Kim Hyoung-Soo
Kim Jae-Bum
Kim Woo-Shik
Kim Young-Sam
Kwak Jae-Gun
Lee Hae-Young
Lee Seok-In
Lim Jae-Woong
Oh Se-Jin
Oh Tak-Hyuck
Park Chun-Soo
Ryu Kyoung-Min
Shim Man-Shik
Son Joo-Hyung
Son Kuk-Hui
Song Seung-Hwan
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Abstract
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Since the first reported case of coronavirus disease 2019 (COVID-19) in December 2019, the numbers of confirmed cases and deaths have continued to increase exponentially despite multi-factorial efforts. Although various attempts have been made to improve the level of evidence for extracorporeal membrane oxygenation (ECMO) treatment over the past 10 years, most experts still hesitate to take an active position on whether to apply ECMO in COVID-19 patients. Several ECMO management guidelines have been published recently, but they reflect some important differences from the Korean medical system and aspects of real-world medical practice in Korea. We aimed to find evidence on the efficacy of ECMO for COVID-19 patients by reviewing the published literature and to propose expert recommendations by analyzing the Korean COVID-19 ECMO registry data.
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KEYWORD
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Extracorporeal membrane oxygenation, COVID-19, Pandemics, Acute respiratory distress syndrome, Cardiogenic shock
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