• Cara Agerstrand, Richard Dubois, Koji Takeda, Nir Uriel, Philippe Lemaitre, Justin Fried, Amirali Masoumi, Eva W Cheung, Yuji Kaku, Lucas Witer, Peter Liou, Claire Gerall, Rafael Klein-Cloud, Darryl Abrams, Jennifer Cunningham, Purnema Madahar, Madhavi Parekh, Briana Short, Natalie H Yip, Alexis Serra, James Beck, Michael Brewer, Kenmund Fung, Dana Mullin, Roy Oommen, Bryan Payne Stanifer, William Middlesworth, Joshua Sonett, and Daniel Brodie.
• From the Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Columbia University College of Physicians and Surgeons/NewYork-Presbyterian Hospital, New York, New York.
• ASAIO J. 2021 Mar 1; 67 (3): 245-249.

AbstractThe coronavirus disease 2019 (COVID-19) pandemic has placed extraordinary strain on global healthcare systems. Use of extracorporeal membrane oxygenation (ECMO) for patients with severe respiratory or cardiac failure attributed to COVID-19 has been debated due to uncertain survival benefit and the resources required to safely deliver ECMO support. We retrospectively investigated adult patients supported with ECMO for COVID-19 at our institution during the first 80 days following New York City's declaration of a state of emergency. The primary objective was to evaluate survival outcomes in patients supported with ECMO for COVID-19 and describe the programmatic adaptations made in response to pandemic-related crisis conditions. Twenty-two patients with COVID-19 were placed on ECMO during the study period. Median age was 52 years and 18 (81.8%) were male. Twenty-one patients (95.4%) had severe ARDS and seven (31.8%) had cardiac failure. Fifteen patients (68.1%) were managed with venovenous ECMO while 7 (31.8%) required arterial support. Twelve patients (54.5%) were transported on ECMO from external institutions. Twelve patients were discharged alive from the hospital (54.5%). Extracorporeal membrane oxygenation was used successfully in patients with respiratory and cardiac failure due to COVID-19. The continued use of ECMO, including ECMO transport, during crisis conditions was possible even at the height of the COVID-19 pandemic.Copyright © ASAIO 2020.

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