Table 1.
Characteristics of four patients with COVID-19 before ECCO2R initiation.
| Patient 1 | Patient 2 | Patient 3 | Patient 4* | |
|---|---|---|---|---|
| Demographics | ||||
| Sex | Male | Male | Male | Male |
| Age, years | 57 | 74 | 67 | 52 |
| Body mass index, kg/m2 | 29.4 | 24.3 | 26.8 | 42.1 |
| Comorbidities | Hypertension, diabetes | Hypertension, diabetes, CAD, COPD, CKD | Hypertension, diabetes, CAD, CKD | Hypertension, diabetes, COPD, CKD |
| Clinical characteristics | ||||
| SAPS II | 37 | 51 | 54 | 43 |
| SOFA score | 7 | 9 | 8 | 11 |
| ICU length of stay before ECCO2R initiation, days | 23 | 6 | 25 | 8 |
| Pre-ECCO2R adjuvant therapy | ||||
| Prone positioning | Yes | Yes | Yes | Yes |
| Nitric oxide | Yes | No | Yes | Yes |
| Duration of ECCO2R, days | 6 | 4 | 5 | 8 |
| VT, mL/kg PBW | 5.6 | 7.2 | 6.5 | 7.3 |
| RR, breaths/min | 30 | 19 | 31 | 21 |
| VE, L/min | 10.3 | 10.1 | 10.5 | 13.8 |
| PPLAT, cmH2O | 30 | 26 | 31 | 27 |
| PEEP, cmH2O | 10 | 11 | 6 | 11 |
| Driving pressure, cmH2O | 20 | 15 | 25 | 16 |
| Compliance, mL/mbar | 18.4 | 34.6 | 18.4 | 41.2 |
| PaO2/FiO2 ratio | 153.3 | 150.6 | 160.0 | 140.0 |
| PaCO2, mmHg | 57.4 | 70.0 | 56.6 | 58.7 |
| pH | 7.38 | 7.29 | 7.41 | 7.23 |
| Arterial , mMol/L | 33.3 | 32.3 | 35.1 | 21.4 |
| LVEF, % | 60 | 40 | 65 | 60 |
| Norepinephrine dose, μg/kg/min | 0.002 | 0.336 | 0.219 | 0.038 |
| Laboratory findings | ||||
| White cell count, g/L | 7.1 | 12.9 | 26.3 | 17.1 |
| Total lymphocytes | 1.54 | 0.94 | 1.94 | 1.26 |
| Hemoglobin, g/dL | 84 | 95 | 90 | 93 |
| Platelet count, giga/L | 316 | 357 | 288 | 301 |
| Creatinine, mg/dL† | 0.5 | 1.9 | 1.0 | 2.0 |
| Urea, mg/dL‡ | 37 | 197 | 101 | 230 |
| Lactate dehydrogenase, U/L | 311 | 492 | 237 | 365 |
| Alanine aminotransferase, U/L | 104 | 378 | 40 | 212 |
| Aspartate aminotransferase, U/L | 44 | 359 | 35 | 363 |
| Albumin, g/L | 24.9 | 23.6 | 29.2 | 29.7 |
| B-type natriuretic peptide, pg/mL | 48 | 591 | 93 | 9 |
| C-reactive protein, mg/L | 71.1 | 164.5 | 113.9 | 197.7 |
| Procalcitonin, μg/L | 0.5 | 6.1 | 7.5 | 1.6 |
| Interleukin-6, μg/L | 74 | 2150 | 95 | 55 |
| Ferritin, μg/L | 1588 | 2107 | 723 | 1076 |
| D-dimer, mg/L | 3.1 | 15.3 | 1.77 | 3.9 |
Patient received ECCO2R + CRRT.
To convert the values for serum creatinine to mg/dL, multiply by 88.4.
To convert the value for urea to blood urea nitrogen, multiply by 0.467.
CAD, coronary artery disease; CKD, chronic kidney disease; COPD, chronic obstructive pulmonary disease; COVID-19, coronavirus disease 2019; CRRT, continuous renal replacement therapy; ECCO2R, extracorporeal carbon dioxide removal; FiO2, fraction of inspired oxygen; , bicarbonate; ICU, intensive care unit; LVEF, left ventricular ejection fraction; NA, not applicable/not available; PaCO2, arterial partial pressure of carbon dioxide; PaO2, arterial partial pressure of oxygen; PBW, predicted body weight; PEEP, positive end-expiratory pressure; PPLAT, plateau pressure; RR, respiratory rate; SAP, Simplified Acute Physiology Score; SOFA, Sequential Organ Failure Assessment; VE, minute volume; VT, tidal volume.