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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,
Jazyk angličtina Země Japonsko
Typ dokumentu kazuistiky, časopisecké články
NLK
ProQuest Central
od 1998-03-01 do 2019-01-31
Medline Complete (EBSCOhost)
od 1998-03-01 do Před 1 rokem
Nursing & Allied Health Database (ProQuest)
od 1998-03-01 do 2019-01-31
Health & Medicine (ProQuest)
od 1998-03-01 do 2019-01-31
- MeSH
- hypoxie diagnostické zobrazování patofyziologie terapie MeSH
- lidé MeSH
- mimotělní membránová oxygenace metody MeSH
- mladý dospělý MeSH
- plíce diagnostické zobrazování patofyziologie MeSH
- počítačová rentgenová tomografie MeSH
- povrchově aktivní látky terapeutické užití MeSH
- syndrom dechové tísně diagnostické zobrazování patofyziologie terapie MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky 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.
Citace poskytuje 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 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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