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Exogenous surfactant as a bridge to prolonged "total lung rest" in severely injured patient during extracorporeal membrane oxygenation
P. Sklienka, J. Maca, F. Bursa, J. Neiser, R. Kula, M. Kanova, T. Danek, P. Sevcik,
Language English Country Japan
Document type Case Reports, Journal Article
NLK
ProQuest Central
from 1998-03-01 to 2019-01-31
Medline Complete (EBSCOhost)
from 1998-03-01 to 1 year ago
Nursing & Allied Health Database (ProQuest)
from 1998-03-01 to 2019-01-31
Health & Medicine (ProQuest)
from 1998-03-01 to 2019-01-31
- MeSH
- Hypoxia diagnostic imaging physiopathology therapy MeSH
- Humans MeSH
- Extracorporeal Membrane Oxygenation methods MeSH
- Young Adult MeSH
- Lung diagnostic imaging physiopathology MeSH
- Tomography, X-Ray Computed MeSH
- Surface-Active Agents therapeutic use MeSH
- Respiratory Distress Syndrome diagnostic imaging physiopathology therapy MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
We report a case of a 20-year-old male patient suffering from motorcycle accident complicated by rapid development of severe refractory hypoxemia and hypercapnia due to serious bilateral lung contusions and lacerations. Positive pressure mechanical ventilation induced pressure-dependent massive air leak from disrupted pulmonary tissue. Simultaneous implementation of veno-venous extracorporeal membrane oxygenation together with surfactant application allowed prolonged disconnection of patient from mechanical ventilation ("total lung rest" mode). Despite considerable areas of nonaerated tissue on computed tomography prior to the disconnection from mechanical ventilation, almost total functional recovery of lungs was eventually achieved.
References provided by Crossref.org
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- $a Sklienka, Peter $u Department of Anesthesiology and Intensive Care Medicine, University Hospital Ostrava, 17. listopadu 1790, 708 52, Ostrava, Czech Republic. peter.sklienka@fno.cz.
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- $a Exogenous surfactant as a bridge to prolonged "total lung rest" in severely injured patient during extracorporeal membrane oxygenation / $c P. Sklienka, J. Maca, F. Bursa, J. Neiser, R. Kula, M. Kanova, T. Danek, P. Sevcik,
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- $a We report a case of a 20-year-old male patient suffering from motorcycle accident complicated by rapid development of severe refractory hypoxemia and hypercapnia due to serious bilateral lung contusions and lacerations. Positive pressure mechanical ventilation induced pressure-dependent massive air leak from disrupted pulmonary tissue. Simultaneous implementation of veno-venous extracorporeal membrane oxygenation together with surfactant application allowed prolonged disconnection of patient from mechanical ventilation ("total lung rest" mode). Despite considerable areas of nonaerated tissue on computed tomography prior to the disconnection from mechanical ventilation, almost total functional recovery of lungs was eventually achieved.
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- $a Maca, Jan $u Department of Anesthesiology and Intensive Care Medicine, University Hospital Ostrava, 17. listopadu 1790, 708 52, Ostrava, Czech Republic. Department of Intensive Care Medicine and Forensic Studies, Faculty of Medicine, University Ostrava, Ostrava, Czech Republic.
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- $a Bursa, Filip $u Department of Anesthesiology and Intensive Care Medicine, University Hospital Ostrava, 17. listopadu 1790, 708 52, Ostrava, Czech Republic. Department of Intensive Care Medicine and Forensic Studies, Faculty of Medicine, University Ostrava, Ostrava, Czech Republic.
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- $a Neiser, Jan $u Department of Anesthesiology and Intensive Care Medicine, University Hospital Ostrava, 17. listopadu 1790, 708 52, Ostrava, Czech Republic. Department of Intensive Care Medicine and Forensic Studies, Faculty of Medicine, University Ostrava, Ostrava, Czech Republic.
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- $a Kula, Roman $u Department of Anesthesiology and Intensive Care Medicine, University Hospital Ostrava, 17. listopadu 1790, 708 52, Ostrava, Czech Republic. Department of Intensive Care Medicine and Forensic Studies, Faculty of Medicine, University Ostrava, Ostrava, Czech Republic.
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- $a Kanova, Marcela $u Department of Anesthesiology and Intensive Care Medicine, University Hospital Ostrava, 17. listopadu 1790, 708 52, Ostrava, Czech Republic. Department of Intensive Care Medicine and Forensic Studies, Faculty of Medicine, University Ostrava, Ostrava, Czech Republic.
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- $a Daněk, Tomáš $7 xx0240936 $u Department of Cardiac Surgery, University Hospital Ostrava, 17. listopadu 1790, 708 52, Ostrava, Czech Republic.
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- $a Sevcik, Pavel $u Department of Anesthesiology and Intensive Care Medicine, University Hospital Ostrava, 17. listopadu 1790, 708 52, Ostrava, Czech Republic. Department of Intensive Care Medicine and Forensic Studies, Faculty of Medicine, University Ostrava, Ostrava, Czech Republic.
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