Extracorporeal membrane oxygenation and inhaled sedation in coronavirus disease 2019-related acute respiratory distress syndrome

Figure 1 Overview of respiratory management of coronavirus disease 2019 related acute respiratory distress syndrome and inhaled sedation. ¹AnaConDa^®; ²MIRUS^TM. RASS: Richmond Agitation-Sedation Scale; PSV: Pressure support ventilation; BIPAP: Bilevel positive airway pressure; FiO₂: Fraction of inspired oxygen; PaO₂: Partial pressure of oxygen; P/F-ratio: PaO₂/FiO₂; VV-ECMO: Veno-venous ECMO.

Figure 2 AnaConDa-S^® system set up in prone position. ¹Closed loop suction system; ²Port to monitor the volatile anesthetic and CO₂; ³AnaConDa^®-S with anesthesia gas reflector, bacterial and viral filter, and heat and moisture exchanger; ⁴Evaporator with liquid line from syringe pump and liquid isoflurane or sevoflurane.

Figure 3 MIRUS^TM setup in prone position and veno-venous-extracorporeal membrane oxygenation therapy. ¹Closed suction system; ²Bacterial and viral filter and heat and moisture exchanger; ³MIRUS^TM reflector.

Figure 4 Display of the MIRUS^TM sevoflurane controller. The display shows the setting under normal operation.

Figure 5 Display of the MIRUS^TM controller. Yellow alarm refers to a low tidal volume. In this case, the wash-in speed “tortoise” should be selected.

Figure 6 Example of a vacuum-based gas scavenging system (CleanAir^TM system). ¹Expiration port of the ventilator; ²Open reservoir scavenging system; ³Vacuum line.