2022
DOI: 10.1177/02676591221119319
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Video-assisted thoracic surgery in critically ill COVID-19 patients on venovenous extracorporeal membrane oxygenation

Abstract: Introduction Coronavirus disease 2019 (COVID-19) leads to thoracic complications requiring surgery. This is challenging, particularly in patients supported with venovenous extracorporeal membrane oxygenation (VV-ECMO) due to the need for continuous therapeutic anticoagulation. We aim to share our experience regarding the safety and perioperative management of video-assisted thoracic surgery for this specific population. Methods Retrospective, single-center study between November 2020 and January 2022 at the IC… Show more

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Cited by 2 publications
(3 citation statements)
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“…In the meantime, some institutions have actually published reports on the surgical management of these complications precisely. 6,7 On the other hand, it was obvious that major thoracic surgery would play no role in the first-line therapy of COVID-19 but was rather reserved for late effects of SARS-CoV 2 infection as massive pulmonary hemorrhage or bacterial superinfection.…”
Section: Discussionmentioning
confidence: 99%
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“…In the meantime, some institutions have actually published reports on the surgical management of these complications precisely. 6,7 On the other hand, it was obvious that major thoracic surgery would play no role in the first-line therapy of COVID-19 but was rather reserved for late effects of SARS-CoV 2 infection as massive pulmonary hemorrhage or bacterial superinfection.…”
Section: Discussionmentioning
confidence: 99%
“…For the most part, simple interventions as tracheostomy, chest tube insertion, and video-assisted thoracoscopic surgery for hemothorax or pleural empyema are reported. [5][6][7] Therefore, we wanted to share our experience with nonelective major thoracic surgery in COVID-19 patients under ongoing ECMO therapy. The Dresden ECMO Center is a major ECMO provider in East Germany for many years and has extensive experience with the application of ECMO for ARDS in non-COVID-19 cases.…”
Section: Discussionmentioning
confidence: 99%
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