Pedal gangrene in a patient with COVID-19 treated with prone positioning and extracorporeal membrane oxygenation

Journal of Vascular Surgery Cases and Innovative Techniques

Amanda Siegel, DPM¹  Scott Gawlik, DPM¹  Ammar Al Rubaiay, DPM¹  John Haight, DPM¹  Alisha Oropallo, MD²  Andrew Adelsheimer, MD, MBA² 

[1] Department of Podiatry, Comprehensive Wound Care Healing and Hyperbarics, Northwell Health, Lake Success, NY;Department of Surgery, Comprehensive Wound Care Healing and Hyperbarics, Northwell Health, Lake Success, NY;

关键词: COVID-19;    ECMO;    Hypercoagulable;    Necrosis;    Offload;    Prone position;   

DOI  :  

来源: DOAJ

【 摘 要 】

Many patients hospitalized with coronavirus disease 2019 are treated with venovenous extracorporeal membrane oxygenation and prone positioning to optimize oxygenation. However, this combination can result in lower extremity tissue necrosis, especially without adequate offloading. We report the case of a 31-year-old man who required mechanical ventilation and venovenous extracorporeal membrane oxygenation secondary to complications from coronavirus disease 2019, and subsequently developed pedal dry gangrene. The patient was discharged and healed without requiring an amputation. Our institution has since revised the prone positioning protocol to address offloading the lower extremities and feet.

【 授权许可】

Unknown