Young female worker with Covid-19 without underlying disease must intervene ECMO

A healthy 37-year-old female worker with no underlying disease had both heart and lung damage, so she had to undergo ECMO.
On the afternoon of June 15, Dr. Nguyen Tan Hung, Deputy Head of the Department of Intensive Care and Anti-Poisoning, Da Nang Hospital is providing support in Bac Giang with the intervention team to place ECMO for a 37-year-old female worker in Bac Giang.

HTH female patient, with a healthy history, no underlying disease, was found to have Covid-19 on May 26, transferred to Bac Giang Lung Hospital for treatment, had to breathe oxygen but her shortness of breath did not improve. . 2 days later, the patient was transferred to non-invasive mechanical ventilation. On June 2, she continued to be intubated, mechanically ventilated, dialysis osiris, and used antibiotics. Dr. Hung and colleagues intervened ECMO for patients at the 101-bed ICU Center in Bac Giang Due to her worsening condition, on the evening of June 14, Ms. H. was transferred to the largest Intensive Care Center (ICU) in the North with 101 beds located at Bac Giang Mental Hospital for mechanical ventilation, dialysis, and use. vasopressor drugs. However, the development of right heart failure was very severe, requiring high-dose vasopressors, bilateral diffuse lung damage, and did not respond to optimal medical treatment. Therefore, at 4 pm on June 15, the patient was assigned to place ECMO (artificial cardiopulmonary support). Dr. Hung said that after placing ECMO, the patient stopped taking vasopressors and improved the blood oxygenation index. However, the prognosis remains severe due to damage to both the heart and lungs. In this case, it will be necessary to continue to closely monitor each indicator. Earlier on June 12, also at the 101-bed ICU Center, doctors of Da Nang Hospital coordinated ECMO intervention for a 67-year-old female patient NTT., 67 years old. This case also had a history of being perfectly healthy. The patient tested positive for SARS-CoV-2, then was admitted to Bac Giang Lung Hospital for treatment from June 3 in a state of shortness of breath, cough, and blood oxygen reduced to 85%. enter and filter blood. At 12 o’clock on June 12, the patient was transferred to the 101-bed ICU Center in a very serious condition, intubated, and mechanically ventilated, but the patient’s lungs were severely damaged and diffused on both sides, so ECMO intervention was indicated. . With this case, up to now, according to Dr. Hung, the patient is awake, still dependent on ECMO, and the lungs are tending to improve. So far, the country has had 37 critical patients, of which 13 had to undergo ECMO intervention, of which the Central Hospital for Tropical Diseases and Tropical Diseases Ho Chi Minh City had 4 cases each. Thuy Hanh