A case of severe acute respiratory distress syndrome caused by inhalation injury
10.3760/cma.j.cn501225-20230818-00052
- VernacularTitle:吸入性损伤致重度急性呼吸窘迫综合征1例
- Author:
Caihong GU
1
;
Xiaomin LI
;
Xiuwen KANG
Author Information
1. 连云港市第一人民医院重症医学科，连云港 222002
- Keywords:
Burns, inhalation;
Extracorporeal membrane oxygenation;
Acute respiratory distress syndrome;
Ultra-protective lung ventilation strategy
- From:
Chinese Journal of Burns
2023;39(12):1185-1189
- CountryChina
- Language:Chinese
-
Abstract:
A 54-year-old male patient with severe acute respiratory distress syndrome caused by inhalation injury was admitted to the First People's Hospital of Lianyungang City on June 26 th, 2022. After admission, the patient received invasive mechanical ventilation (driving pressure-guided ventilator parameter setting) combined with prone position treatment immediately, but his condition continued to deteriorate. Five hours after admission, the patient received veno-venous extracorporeal membrane oxygenation (VV-ECMO) supporting treatment, treatment based on ultra-protective lung ventilation strategy combined with prone position ventilation for more than 12 hours per day. At the same time, pulse contour cardiac output monitoring technology was used to monitor cardiac index and extravascular lung water index to guide volume management, and fiberoptic bronchoalveolar lavage was performed for several times. After that, the patient was successfully weaned from VV-ECMO and ventilator, and then discharged from hospital successfully. During follow-up of one year after the injury, the patient showed no obvious respiratory symptoms, and his lung function was basically normal.
