A Case of Pumpless Interventional Lung Assist Application in a Tuberculosis Destroyed Lung Patient with Severe Hypercapnic Respiratory Failure.
10.4266/kjccm.2013.28.3.192
- Author:
So Hee PARK
1
;
Sang Ook HA
;
Jae Seok PARK
;
Sang Bum HONG
;
Tae Sun SHIM
;
Chae Man LIM
;
Younsuck KOH
Author Information
1. Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Korea. yskoh@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
pumpless extracorporeal lung assist;
respiratory failure;
tuberculosis destroyed lung
- MeSH:
Acidosis, Respiratory;
Carbon Dioxide;
Humans;
Hypercapnia;
Lung;
Male;
Pneumonia, Ventilator-Associated;
Respiratory Insufficiency;
Retention (Psychology);
Tuberculosis;
Ventilators, Mechanical
- From:The Korean Journal of Critical Care Medicine
2013;28(3):192-196
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pumpless extracorporeal interventional lung assist (iLA) is a rescue therapy allowing effective carbon dioxide removals and lung protective ventilator settings. Herein, we report the use of a pumpless extracorporeal iLA in a tuberculosis destroyed lung (TDL) patient with severe hypercapnic respiratory failures. A 35-year-old male patient with TDL was intubated due to CO2 retention and altered mentality. After 11 days, Ventilator Associated Pneumonia (VAP) had developed. Despite the maximal mechanical ventilator support, his severe respiratory acidosis was not corrected. We applied the iLA for the management of refractory hypercapnia with respiratory acidosis. This case suggests that the iLA is an effective rescue therapy for TDL patients with ventilator refractory hypercapnia.
