Shayan Shahriar, DeLeon Alexander M, McGregor Randy, Mader Thomas, Garino Mia, Mehta Christopher
Anesthesiology, Northwestern Memorial Hospital, Chicago, USA.
Cardiac Surgery, Northwestern Memorial Hospital, Chicago, USA.
Cureus. 2023 Jun 7;15(6):e40094. doi: 10.7759/cureus.40094. eCollection 2023 Jun.
Persistent hypoxemia during veno-venous extracorporeal membrane oxygenation (VV-ECMO) for supporting acute respiratory distress syndrome (ARDS) patients is a clinical challenge for intensive care medical providers. Prone positioning is an effective strategy to treat persistent hypoxemia; however, placing a patient in a prone position is resource intensive with significant risks to the patient. We present a patient with severe ARDS receiving VV-ECMO who underwent verticalization therapy and subsequently recovered pulmonary function.
在使用静脉-静脉体外膜肺氧合(VV-ECMO)支持急性呼吸窘迫综合征(ARDS)患者期间,持续低氧血症是重症监护医疗人员面临的一项临床挑战。俯卧位通气是治疗持续低氧血症的有效策略;然而,将患者置于俯卧位需要大量资源,且对患者有重大风险。我们报告了一名接受VV-ECMO治疗的重症ARDS患者,该患者接受了垂直化治疗并随后恢复了肺功能。