Treatment of refractory septic shock with veno-arterial extracorporeal membrane oxygenation:a case report

VernacularTitle:VA-ECMO治疗难治性脓毒性休克的体会
Author: Xuemei ZHANG ¹ ; Chunxia WANG ; Liuxue GUO ; Renjie ZHOU ; Peiyang GAO
Author Information

1. 成都中医药大学附属医院重症医学科,四川成都 610072
Keywords: Extracorporeal membrane oxygenation; Refractory septic shock; Case report
From: Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care 2024;31(2):242-244
CountryChina
Language:Chinese
Abstract: Septic shock has always been a challenging problem for people,with a high incidence rate and mortality.After decades of development,significant progress has been made in the pathophysiology and clinical aspects of septic shock.The"Surviving Sepsis Campaign"guidelines provide a suitable approach to directing treatment,enabling earlier recognition of septic shock and reducing its mortality rate.However,there are still many challenges,such as refractory septic shock(RSS)and multiple organ failure.Over the past decade,extracorporeal membrane oxygenation(ECMO)technology has been increasingly applied in the treatment of critically ill patients.Whether ECMO can be considered as a salvage treatment for RSS is increasingly being considered.This report presents the experience of successfully treating a patient with RSS using ECMO in our department.For the management of RSS,it is recommended to consider ECMO as a worthwhile option,providing some practical experience for the treatment of RSS with ECMO.