One hundred forty six days on extracorporeal membrane oxygenation (ECMO): Our longest ECMO run

IF 0.3 Q4 CRITICAL CARE MEDICINE Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI:10.1016/j.ejccm.2018.12.015
Ahmad Said Abdalmohsen Ali, Mohamed Yosri, Mohamed Abouelwafa, Mahmoud Saad, Kareem Zaki, Shady Mashhour, Husam Salah, Tarek Mohsen, Amaany Abozeid, Mohamed Khaled, Akram Abdelbary, Alia Abdelfattah
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引用次数: 3

Abstract

Introduction

Veno-venous extracorporeal membrane oxygenation (VV-ECMO) provides the respiratory support in acute severe respiratory failure until the underlying acute lung pathology improves. VV-ECMO support for.

Aim of the work

We describe our experience in the management of the longest ECMO run in our center.

Methods

A 17 years old Male patient who had only vague past medical history of recurrent abdominal pain for 5 years. Patient was admitted with severe ARDS that failed to improve with conventional ventilation, Murray Lung Injury Score was 3.5, RESP score was 1, underwent Veno-venous (V-V) ECMO via femoro-atrial approach using Maquet Cardio help console. The ECMO run duration was 146 days. Patient suffered from several complications during the ECMO run such as pulmonary hemorrhage, Acute cor pulmonale, thrombocytopenia and convulsions.

Results

Patient expired on ECMO day 146 with refractory septic shock even after shifting to VAV ECMO support.

Conclusion

Prolonged ECMO therapy poses its unique challenges. Multidisciplinary team management plays fundamental role during management of prolonged ECMO therapy.

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146天体外膜氧合(ECMO):我们最长的ECMO运行时间
静脉-静脉体外膜氧合(VV-ECMO)为急性严重呼吸衰竭患者提供呼吸支持,直至潜在的急性肺病理好转。VV-ECMO支持。我们描述了我们在管理我们中心最长的ECMO运行的经验。方法男性,17岁,既往腹痛5年,既往病史不详。患者入院时为严重急性呼吸窘迫综合征(ARDS),常规通气未能改善,Murray肺损伤评分为3.5分,RESP评分为1分,采用Maquet Cardio帮助台经股房入路行静脉-静脉(V-V) ECMO。ECMO运行时间为146天。患者在ECMO运行过程中出现了肺出血、急性肺心病、血小板减少症和惊厥等并发症。结果患者转到VAV ECMO支持后,仍在ECMO第146天死亡,并发难治性感染性休克。结论延长ECMO治疗有其独特的挑战。多学科团队管理是延长ECMO治疗管理的基础。
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来源期刊
自引率
0.00%
发文量
5
审稿时长
42 weeks
期刊介绍: The Egyptian Journal of Critical Care Medicine is the official Journal of the Egyptian College of Critical Care Physicians, the most authoritative organization of Egyptian physicians involved in the multi-professional field of critical care medicine. The journal is intended to provide a peer-reviewed source for multidisciplinary coverage of general acute and intensive care medicine and its various subcategories including cardiac, pulmonary, neuro, renal as well as post-operative care. The journal is proud to have an international multi-professional editorial board in the broad field of critical care that will assist in publishing promising research and breakthrough reports that lead to better patients care in life threatening conditions, and bring the reader a quick access to the latest diagnostic and therapeutic approaches in monitoring and management of critically ill patients.
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