A Case of Severe Acute Respiratory Distress Syndrome Treated with Extracorporeal Life Support.
10.4046/trd.2007.63.6.526
- Author:
Young Mook KIM
1
;
Jue Yong LEE
;
Myung Goo LEE
;
Chang Youl LEE
;
Go Woon KIM
;
Kyoung Min SOHN
;
Ha Na YANG
;
Dae Yong KIM
;
Hyun Hee CHOI
;
Hyoung Soo KIM
Author Information
1. Department of Internal Medicine, Hallym University School of Medicine, Chuncheon, Korea. mglee@hallym.or.kr
- Publication Type:Case Report ; Clinical Trial
- Keywords:
Acute respiratory distress syndrome;
Extracorporeal life support
- MeSH:
Adult;
Anoxia;
Emergency Service, Hospital;
Female;
Humans;
Incidence;
Pneumonia, Pneumococcal;
Respiration, Artificial;
Respiratory Distress Syndrome, Adult*;
Tidal Volume
- From:Tuberculosis and Respiratory Diseases
2007;63(6):526-530
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The incidence of acute respiratory distress syndrome (ARDS) has been estimated worldwide to range from 1.7 to 75 cases per 100,000. There are many treatments for ARDS, but only the low tidal volume strategy is based on strong clinical evidence from randomized clinical trials. The efficacy of extracorporeal life support (ECLS) in adults remains controversial. Ongoing clinical trials and research have shown a benefit for its use to salvage severe ARDS patients that are in failure with conventional treatment. We encountered a 41-year-old woman who developed ARDS induced by pneumococcal pneumonia. Despite conventional mechanical ventilation in the emergency room, severe hypoxia remained. We treated the patient immediately with ECLS. The patient has almost fully recovered, and was discharged from a 177-day stay at our hospital.
