Awake extracorporeal membrane oxygenation in a neonatal patient with respiratory failure
| Autor: | Marc A. Priest, Mark Ogino, Christopher D. Beaty, Joanna D. Costa, Daniel Dirnberger, Curtis D Froehlich |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Lung
business.industry Cardiogenic shock medicine.medical_treatment General Medicine 030204 cardiovascular system & hematology medicine.disease awake ECMO Pulmonary hypertension Transplantation 03 medical and health sciences surgical procedures operative 0302 clinical medicine medicine.anatomical_structure 030228 respiratory system Respiratory failure Electronic health record Anesthesia medicine Breathing Extracorporeal membrane oxygenation 4th Annual ELSO-SWAC Conference Proceedings neonatal ECMO business |
| Zdroj: | Qatar Medical Journal |
| ISSN: | 2227-0426 0253-8253 |
| Popis: | Background: Awake extracorporeal membrane oxygenation (ECMO) in conscious, extubated patients has been used successfully in adults and children, primarily as a bridge to lung or heart–lung transplantation and recovery from refractory cardiogenic shock. 1,2 However, this strategy has been reported only as an exceptional measure in neonatal patients. We present a case of neonatal respiratory failure where an infant was extubated while on ECMO and managed without invasive ventilation. Methods: The clinical details, laboratory investigations, management, and outcome of the patient were reviewed from the electronic health record. This single-patient case report was exempt from the IRB at our institution. The photograph was used with parental consent. Results: The patient was a 2950 g product of an uncomplicated term pregnancy, whose postnatal course was complicated by neonatal acute respiratory failure, pulmonary hypertension, and bilateral pneumothoraces. The infant was managed on veno-arterial (VA) ECMO. Des... |
| Databáze: | OpenAIRE |
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