One hundred forty six days on extracorporeal membrane oxygenation (ECMO): Our longest ECMO run
Introduction: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) provides the respiratory support in acute severe respiratory failure until the underlying acute lung pathology improves. VV-ECMO support for. Aim of the work: We describe our experience in the management of the longest ECMO run...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Springer
2018-12-01
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| Series: | Egyptian Journal of Critical Care Medicine |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2090730318300525 |
| _version_ | 1797285684669579264 |
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| author | Ahmad Said Abdalmohsen Ali Mohamed Yosri Mohamed Abouelwafa Mahmoud Saad Kareem Zaki Shady Mashhour Husam Salah Tarek Mohsen Amaany Abozeid Mohamed Khaled Akram Abdelbary Alia Abdelfattah |
| author_facet | Ahmad Said Abdalmohsen Ali Mohamed Yosri Mohamed Abouelwafa Mahmoud Saad Kareem Zaki Shady Mashhour Husam Salah Tarek Mohsen Amaany Abozeid Mohamed Khaled Akram Abdelbary Alia Abdelfattah |
| author_sort | Ahmad Said Abdalmohsen Ali |
| collection | DOAJ |
| description | Introduction: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) provides the respiratory support in acute severe respiratory failure until the underlying acute lung pathology improves. VV-ECMO support for. Aim of the work: We describe our experience in the management of the longest ECMO run in our center. Methods: A 17 years old Male patient who had only vague past medical history of recurrent abdominal pain for 5 years. Patient was admitted with severe ARDS that failed to improve with conventional ventilation, Murray Lung Injury Score was 3.5, RESP score was 1, underwent Veno-venous (V-V) ECMO via femoro-atrial approach using Maquet Cardio help console. The ECMO run duration was 146 days. Patient suffered from several complications during the ECMO run such as pulmonary hemorrhage, Acute cor pulmonale, thrombocytopenia and convulsions. Results: Patient expired on ECMO day 146 with refractory septic shock even after shifting to VAV ECMO support. Conclusion: Prolonged ECMO therapy poses its unique challenges. Multidisciplinary team management plays fundamental role during management of prolonged ECMO therapy. Keywords: ARDS, ECMO, Shock, Thrombocytopenia, Cor pulmonale |
| first_indexed | 2024-03-07T18:06:43Z |
| format | Article |
| id | doaj.art-b2807ab1229349108cf2bdaabaebfe68 |
| institution | Directory Open Access Journal |
| issn | 2090-7303 |
| language | English |
| last_indexed | 2024-03-07T18:06:43Z |
| publishDate | 2018-12-01 |
| publisher | Springer |
| record_format | Article |
| series | Egyptian Journal of Critical Care Medicine |
| spelling | doaj.art-b2807ab1229349108cf2bdaabaebfe682024-03-02T08:56:29ZengSpringerEgyptian Journal of Critical Care Medicine2090-73032018-12-0163113121One hundred forty six days on extracorporeal membrane oxygenation (ECMO): Our longest ECMO runAhmad Said Abdalmohsen Ali0Mohamed Yosri1Mohamed Abouelwafa2Mahmoud Saad3Kareem Zaki4Shady Mashhour5Husam Salah6Tarek Mohsen7Amaany Abozeid8Mohamed Khaled9Akram Abdelbary10Alia Abdelfattah11Corresponding author.; Faculty of Medicine, Cairo University, EgyptFaculty of Medicine, Cairo University, EgyptFaculty of Medicine, Cairo University, EgyptFaculty of Medicine, Cairo University, EgyptFaculty of Medicine, Cairo University, EgyptFaculty of Medicine, Cairo University, EgyptFaculty of Medicine, Cairo University, EgyptFaculty of Medicine, Cairo University, EgyptFaculty of Medicine, Cairo University, EgyptFaculty of Medicine, Cairo University, EgyptFaculty of Medicine, Cairo University, EgyptFaculty of Medicine, Cairo University, EgyptIntroduction: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) provides the respiratory support in acute severe respiratory failure until the underlying acute lung pathology improves. VV-ECMO support for. Aim of the work: We describe our experience in the management of the longest ECMO run in our center. Methods: A 17 years old Male patient who had only vague past medical history of recurrent abdominal pain for 5 years. Patient was admitted with severe ARDS that failed to improve with conventional ventilation, Murray Lung Injury Score was 3.5, RESP score was 1, underwent Veno-venous (V-V) ECMO via femoro-atrial approach using Maquet Cardio help console. The ECMO run duration was 146 days. Patient suffered from several complications during the ECMO run such as pulmonary hemorrhage, Acute cor pulmonale, thrombocytopenia and convulsions. Results: Patient expired on ECMO day 146 with refractory septic shock even after shifting to VAV ECMO support. Conclusion: Prolonged ECMO therapy poses its unique challenges. Multidisciplinary team management plays fundamental role during management of prolonged ECMO therapy. Keywords: ARDS, ECMO, Shock, Thrombocytopenia, Cor pulmonalehttp://www.sciencedirect.com/science/article/pii/S2090730318300525 |
| spellingShingle | Ahmad Said Abdalmohsen Ali Mohamed Yosri Mohamed Abouelwafa Mahmoud Saad Kareem Zaki Shady Mashhour Husam Salah Tarek Mohsen Amaany Abozeid Mohamed Khaled Akram Abdelbary Alia Abdelfattah One hundred forty six days on extracorporeal membrane oxygenation (ECMO): Our longest ECMO run Egyptian Journal of Critical Care Medicine |
| title | One hundred forty six days on extracorporeal membrane oxygenation (ECMO): Our longest ECMO run |
| title_full | One hundred forty six days on extracorporeal membrane oxygenation (ECMO): Our longest ECMO run |
| title_fullStr | One hundred forty six days on extracorporeal membrane oxygenation (ECMO): Our longest ECMO run |
| title_full_unstemmed | One hundred forty six days on extracorporeal membrane oxygenation (ECMO): Our longest ECMO run |
| title_short | One hundred forty six days on extracorporeal membrane oxygenation (ECMO): Our longest ECMO run |
| title_sort | one hundred forty six days on extracorporeal membrane oxygenation ecmo our longest ecmo run |
| url | http://www.sciencedirect.com/science/article/pii/S2090730318300525 |
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