Successful Application of Extracorporeal Membrane Oxygenation for 3 Patients in Medical Intensive Care Unit: Case Report.
- Author:
Hye Yun PARK
1
;
Eun Hae KANG
;
Hyo Kyoung CHOI
;
Gee Young SUH
;
O Jung KWON
;
Kiick SUNG
;
Young Tak LEE
Author Information
1. Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. keunhae@unitel.co.kr
- Publication Type:Case Report
- Keywords:
Acute respiratory failure;
Extracorporeal membrane oxygenation (ECMO);
Pulmonary thromboembolism;
Septic shock
- MeSH:
Angiography;
Embolectomy;
Extracorporeal Membrane Oxygenation*;
Heart Arrest;
Heart Failure;
Humans;
Intensive Care Units*;
Critical Care*;
Orthopedics;
Pneumonectomy;
Pulmonary Embolism;
Respiration, Artificial;
Respiratory Insufficiency;
Salvage Therapy;
Shock, Septic
- From:The Korean Journal of Critical Care Medicine
2007;22(2):91-95
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Extracorporeal membrane oxygenation (ECMO) is a life-sustaining salvage therapy applied to the patient with acute heart failure or respiratory failure which is considered curable, but uncorrectable by conventional means. Recently, accumulating data has shown the survival benefit of ECMO in patients with acute fatal cardiopulmonary decompensation. Here, we report a series of cases of successful ECMO treatment in patients with acute cardiopulmonary insufficiency. Case 1: A patient with progressive respiratory failure on mechanical ventilation after pneumonectomy was managed satisfactorily using a veno-venous ECMO. Case 2: A veno-arterial ECMO was used to support a patient with vasopressor refractory septic shock. After 5 days of treatment, the patient was successfully weaned from ECMO. Case 3: A patient in cardiac arrest after the orthopedic surgery was resuscitated using a veno-arterial ECMO. Pulmonary angiography on ECMO revealed massive pulmonary thromboembolism and embolectomy was thoroughly performed under the support of ECMO.
