Lung transplantation in a patient with massive pneumomediastinum following 66 days of awake extracorporeal membrane oxygenation support: A case report.
- Author:
Jie Ae KIM
1
;
Mikyung YANG
;
Hyun Joo AHN
;
Eun Kyung LEE
;
Jeong Yeon CHOI
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. anes.yang@samsung.com
- Publication Type:Case Report
- Keywords:
Extracorporeal membrane oxygenation;
Lung transplantation;
Pneumomediastinum;
Positive pressure ventilation
- MeSH:
Anesthesia;
Cardiac Tamponade;
Dermatomyositis;
Extracorporeal Membrane Oxygenation*;
Humans;
Lung Diseases, Interstitial;
Lung Transplantation*;
Mediastinal Emphysema*;
Middle Aged;
Pneumothorax;
Positive-Pressure Respiration;
Respiration, Artificial;
Subcutaneous Emphysema
- From:Anesthesia and Pain Medicine
2014;9(4):263-267
- CountryRepublic of Korea
- Language:English
-
Abstract:
In a 54-year-old man with interstitial lung disease associated with dermatomyositis, acute exacerbation of the disease had occurred and massive pneumothorax, pneumomediastinum and extensive subcutaneous emphysema were developed while waiting for lung transplantation. He was supported by awake extracorporeal membrane oxygenation (ECMO) for 66 days and bridged to lung transplantation, but mechanical ventilation was not done during ECMO period and induction period to avoid tension pneumothorax and cardiac tamponade. Notable points of this report are that the days of ECMO support were long, the type was awake ECMO, and positive pressure ventilation was not done during whole pretransplant period including anesthesia induction. The transplantation was done successfully and the patient was discharged 25 days after lung transplantation.
