A case of broncho-cutaneous fistula secondary to tuberculosis successfully managed with awake veno-venous extracorporeal membrane oxygenation
Autor: | Duncan Wyncoll, Daniel Taylor, Genex L. Correa, Dominik J Vogel |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Tuberculosis medicine.medical_treatment Fistula Case Report 03 medical and health sciences Pneumonectomy 0302 clinical medicine Extra corporeal membrane oxygenation (ECMO) Extracorporeal membrane oxygenation Medicine Awake ECMO lcsh:RC705-779 Bronchus Lung Positive pressure ventilation (PPV) business.industry Tuberculosis (TB) lcsh:Diseases of the respiratory system medicine.disease Thoracostomy Surgery respiratory tract diseases medicine.anatomical_structure surgical procedures operative Broncho-cutaneous fistula (BCF) 030228 respiratory system 030220 oncology & carcinogenesis business Thoracic wall |
Zdroj: | Respiratory Medicine Case Reports Respiratory Medicine Case Reports, Vol 32, Iss, Pp 101351-(2021) |
ISSN: | 2213-0071 |
Popis: | A broncho-cutaneous fistula (BCF) is a communicating tract between the bronchus and the cutaneous surface of the thoracic wall and can be the primary presenting sign of several disease processes. It has been associated with positive pressure ventilation (PPV), post pneumonectomy, thoracostomy tubes, perforating chest trauma, neoplasia and chronic empyema. We report a case of a 45-year-old immunocompetent man presenting with severe hypercapnic respiratory failure secondary to a BCF as a result of tuberculosis (TB)-related empyema necessitans. Veno-venous extracorporeal membrane oxygenation (VV ECMO) was employed during spontaneous breathing to mitigate the risks of PPV, to facilitate diagnostics and enable targeted treatment. Awake VV ECMO is an effective supportive therapy for complex, destructive lung pathologies with a known reversible aetiology in which PPV would be potentially detrimental. |
Databáze: | OpenAIRE |
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