Pirompanich Pattarin, Saisirivechakun Pannarat, Nithisatienchai Chichaya, Homvises Boonlawat, Sapankaew Tunlanut, Udomlap Natthawarang, Warnnissorn Naree
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Faculty of Medicine, Thammasat University, Pathumthani, Thailand.
Department of Medicine, Faculty of Medicine, Thammasat University, Pathumthani, Thailand.
Lung India. 2023 Jul-Aug;40(4):356-359. doi: 10.4103/lungindia.lungindia_63_23.
The initiation of veno-venous extracorporeal membrane oxygenation (VV-ECMO) has been opposed in late-phase acute respiratory distress syndrome (ARDS) due to an increase in mortality. Herewith an individual case of a 20-year-old female who survived severe ARDS after breast augmentation is reported, whose delayed transfer to our tertiary referral center led to a late initiation of VV-ECMO and multiple mechanical ventilation-associated complications. Nonetheless, her VV-ECMO was decannulated after 45 days of ARDS onset, considering an awake ECMO strategy possibly contributing to her positive outcome. We also provided spirometry results and chest radiography findings over the three years of follow-up. Intensive care specialists need to consider the potential use of ECMO in late-phase ARDS with selected patients.
由于死亡率增加，静脉-静脉体外膜肺氧合（VV-ECMO）在晚期急性呼吸窘迫综合征（ARDS）中未被采用。本文报告了一例20岁女性在隆胸后严重ARDS存活的病例，其延迟转至我们的三级转诊中心导致VV-ECMO启动较晚并出现多种机械通气相关并发症。尽管如此，考虑到清醒ECMO策略可能有助于其良好预后，在ARDS发病45天后她的VV-ECMO导管被拔除。我们还提供了三年随访期间的肺活量测定结果和胸部X线检查结果。重症监护专家需要考虑在晚期ARDS中对选定患者潜在使用ECMO。
