Piedmont joins study of COVID-19 critical care

Piedmont Healthcare is participating in a large international clinical trial to study the effects of ventilation and Extracorporeal Membrane Oxygenation, or ECMO, in the critical care setting on patients suffering from the combination of COVID-19 and Acute Respiratory Distress Syndrome.

ECMO is a medical device that is used to support patients whose heart and lungs require additional assistance to function, similar to putting a patient on bypass during open heart surgery.

The trial is based out of Piedmont Atlanta Hospital, where the local primary investigators are Dr. Peter Barrett, director of Piedmont’s ECMO program and medical director of the Cardiac Critical Care Units, and Dr. David Dean, surgical director for heart transplant and mechanical circulatory support. The study began in Australia and has come to encompass nearly 50 countries. In the United States, 200 participants will be enrolled in the study, which began March 1 and is scheduled to be completed by Dec. 31. To be eligible, patients must have a confirmed or suspected COVID-19 infection with ARDS and require ECMO.

The primary outcome measure of the study is in-hospital mortality. Secondary measures include death on ECMO, stroke, blood stream infection, lung complications requiring surgical treatment, blood transfusion, acute kidney injury, length of ICU stay and death after hospital discharge.

Piedmont has found high survival rates for its COVID-19 patients on ECMO, with 18 of 22 recovering.