CASE REPORT
Respiratory failure caused by a traffic accident successfully treated with ECMO – Case report an review of the literature
| 1 | Student’s Scientific Association, II Department of Anaesthesiology and Intensive Care, Medical University, Lublin, Poland |
| 2 | II Department of Anaesthesiology and Intensive Care, Medical University, Lublin, Poland |
CORRESPONDING AUTHOR
Natalia Wolanin
Student’s Scientific Association, II Department of Anaesthesiology and Intensive Care, Medical University, Lublin, Poland
Student’s Scientific Association, II Department of Anaesthesiology and Intensive Care, Medical University, Lublin, Poland
J Pre Clin Clin Res. 2020;14(1):8–10
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Acute respiratory distress syndrome is an inflammatory process that results in impaired lung function. It is predicted that by 2025, it will be the third largest cause of death. In some cases, extracorporeal membrane oxygenation may be the last option, improving patient outcome.
Case report:
The study presents a case of successful treatment od 47-year-old man. Due to respiratory failure following trauma, veno-venous extracorporeal membrane oxygenation therapy was initiated. Systemic anticoagulation with unfractionated heparin was not used in this case. A prophylactic dose of low molecular weight heparin was administered instead. After stabilization of the vital signs, the patient was discharged from the intensive care unit.
Conclusions:
Extracorporeal membrane oxygenation might be a good option for patients suffering from severe acute respiratory distress syndrome, but protective ventilation is still a method of choice. There have been studies indicating patients outcome improvement; however mortality reduction is still elusive.
Acute respiratory distress syndrome is an inflammatory process that results in impaired lung function. It is predicted that by 2025, it will be the third largest cause of death. In some cases, extracorporeal membrane oxygenation may be the last option, improving patient outcome.
Case report:
The study presents a case of successful treatment od 47-year-old man. Due to respiratory failure following trauma, veno-venous extracorporeal membrane oxygenation therapy was initiated. Systemic anticoagulation with unfractionated heparin was not used in this case. A prophylactic dose of low molecular weight heparin was administered instead. After stabilization of the vital signs, the patient was discharged from the intensive care unit.
Conclusions:
Extracorporeal membrane oxygenation might be a good option for patients suffering from severe acute respiratory distress syndrome, but protective ventilation is still a method of choice. There have been studies indicating patients outcome improvement; however mortality reduction is still elusive.
REFERENCES (12)
1.
Rezoagli E, Fumagalli R, Bellani G. Definition and epidemiology of acute respiratory distress syndrome. Ann Transl Med. 2017; 5(14): 282.
2.
Gattononi L, et al. The future of mechanical ventilation: lessons from the present and the past. Critical Care 2017; 21: 183.
3.
The ARDS Definition Task Force. Acute Respiratory Distress Syndrome: The Berlin Definition JAMA. 2012; 307(23): 2526–2533.
4.
Bellani G, Laffey J, Pham T, et al. Epidemiology, Patterns of Care, and Mortality for Patients with Acute Respiratory Distress Syndrome in Intensive Care Units in 50 Countries JAMA. 2016; 315(8): 788–800.
5.
White A, Fan E. What is ECMO? Am J Respir Crit Care Med. March 2016; 193(6): 9–10.
6.
Lafç G, Budak A, Yener A, Cicek O. Use of extracorporeal membrane oxygenation in adults. Crit Care Clin. October 2017; 33(4): 763–766.
7.
Zapol W, Snider M, Hill J, et al. Extracorporeal membrane oxygenation in severe acute respiratory failure: a randomized prospective study JAMA. 1979; 242: 2193–2196.
8.
The Australia and New Zealand Extracorporeal Membrane Oxygenation (ANZ ECMO) Influenza Investigators, „Extracorporeal Membrane Oxygenation for 2009 Influenza A(H1N1) Acute Respiratory Distress Syndrome” JAMA. 2009; 302(17): 1888–1895.
9.
Noah M, Peek G, Finneu S. Referral to an Extracorporeal Membrane Oxygenation Center and Mortality Among Patients With Severe 2009 Influenza A(H1N1) JAMA. 2011; 306(15): 1659–1668.
10.
Wu M, Chou P, Wu T, Lin P. Predictors of hospital mortality in adult trauma patients receiving extracorporeal membrane oxygenation for advanced life support: a retrospective cohort study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2018; 26(14).
11.
Grant A, Hart V, Lineen E, Lai C, Ginzburg E, Houghton D, Schulman C, Vianna R, Patel A, Casalenuovo A, Loebe M, Ghodsizad A. The Impact of an Advanced ECMO Program on Traumatically Injured Patients. Artif Organs November 2018; 42(11): 1043–1051.
12.
Schmidt M, Bailey M, Sheldrake J, Hodgson C, Aubron C, Rycus P, Scheinkestel C, Cooper D, Brodie D, Pellegrino V, Combes A, Pilcher D. Predicting survival after extracorporeal membrane oxygenation for severe acute respiratory failure. The Respiratory Extracorporeal Membrane Oxygenation Survival Prediction (RESP) Score. Am J Respir Crit Care Med. 2014; 189: 1374–1382.
Share
RELATED ARTICLE
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.