Veno-venous Extracorporeal Membrane Oxygenation in a case of organophosphorus poisoning

IF 0.3 Q4 CRITICAL CARE MEDICINE Egyptian Journal of Critical Care Medicine Pub Date : 2016-04-01 DOI:10.1016/j.ejccm.2016.02.006

Mohamed Yosri Attia, Akram A. Abdelbary, Mohamed M. Khaled, Alia H. Abdelfattah

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引用次数: 6

Abstract

Extracorporeal Membrane Oxygenation (ECMO) is emergently used for long-term support of respiratory and/or cardiac functions. ECMO is most useful in cases when the primary lung insult is reversible. CESAR trial in 2009 showed survival benefits in severe ARDS patients when transferred to an ECMO center compared to those receiving standard care in their ICU.

Organophosphate (OP) compounds are large groups of chemicals used in domestic and industrial settings. These compounds are still used in different forms in developing countries. It can affect the respiratory system through causing: rhinorrhea, bronchorrhea, bronchospasm, cough and severe respiratory distress. Respiratory failure is the most life threatening condition and requires immediate intervention.

We present a case report of OP induced severe ARDS in which conventional lung protective ventilation failed to maintain adequate oxygenation that was accomplished by ECMO.

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静脉-静脉体外膜氧合治疗一例有机磷中毒

体外膜氧合(ECMO)是紧急用于呼吸和/或心脏功能的长期支持。ECMO在原发性肺损伤可逆的情况下最有用。2009年的CESAR试验显示，与在ICU接受标准治疗的患者相比，转移到ECMO中心的严重ARDS患者的生存获益。有机磷酸盐(OP)化合物是一大类用于家庭和工业环境的化学品。这些化合物在发展中国家仍以不同形式使用。它可以通过引起鼻漏、支气管漏、支气管痉挛、咳嗽和严重的呼吸窘迫来影响呼吸系统。呼吸衰竭是最危及生命的疾病，需要立即干预。我们报告一例OP引起的严重ARDS，其中常规肺保护性通气未能维持ECMO完成的足够氧合。

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来源期刊

Egyptian Journal of Critical Care Medicine

自引率

0.00%

发文量

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.