Extracorporeal membrane oxygenation is indispensable for critically severe COVID‐19 patients. However, it would be inapplicable to patients with a rare blood type or blood transfusion refusal. In that case, severely conservative fluid management with the sacrifice of renal functions and hydrocortisone therapy should be considered for better oxygenation.
A 62-year-old man with rare blood type exhibited severe respiratory
failure due to novel coronavirus. Extracorporeal membrane oxygenation
was inapplicable, which requires numerous blood products with the same
blood type. We thoroughly restricted fluid volumes by sacrificing renal
function. He was discharged with complete recovery of respiratory and
renal functions.
A 62-year-old man with rare blood type exhibited severe respiratory
failure due to novel coronavirus. Extracorporeal membrane oxygenation
was inapplicable, which requires numerous blood products with the same
blood type. We thoroughly restricted fluid volumes by sacrificing renal
function. He was discharged with complete recovery of respiratory and
renal functions.
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