A 64-year-old woman with a medical history of stage IV COPD who was receiving 4 L of supplemental oxygen during the day and bilevel positive airway pressure at night presented… Click to show full abstract
A 64-year-old woman with a medical history of stage IV COPD who was receiving 4 L of supplemental oxygen during the day and bilevel positive airway pressure at night presented to the hospital with acute COPD exacerbation and acute on chronic hypercapnic respiratory failure. Five days into her hospitalization, the patient’s condition decompensated to acute hypercarbic and hypoxemic respiratory failure, and the decision was made to place patient on venovenous extracorporeal membrane oxygenation (VV-ECMO) via right internal
               
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