Successful Rescue Therapy with Pumpless Extracorporeal Carbon Dioxide Removal in a Patient with Persistent Air Leakage due to Empyema
A young metastatic lung cancer patient developed empyema due to an infection with carbapenem-resistant Acinetobacter baumannii. Hydropneumothorax was detected and managed by a tube thoracotomy. However, persistent air leakage through the chest tube was observed due to the presence of a bronchopleura...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Critical Care Medicine
2017-08-01
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| Series: | Korean Journal of Critical Care Medicine |
| Subjects: | |
| Online Access: | http://www.kjccm.org/upload/pdf/kjccm-2016-00185.pdf |
| _version_ | 1818134650579582976 |
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| author | Jaeyoung Cho Yeon Joo Lee Jae-Ho Lee Choon-Taek Lee Young-Jae Cho |
| author_facet | Jaeyoung Cho Yeon Joo Lee Jae-Ho Lee Choon-Taek Lee Young-Jae Cho |
| author_sort | Jaeyoung Cho |
| collection | DOAJ |
| description | A young metastatic lung cancer patient developed empyema due to an infection with carbapenem-resistant Acinetobacter baumannii. Hydropneumothorax was detected and managed by a tube thoracotomy. However, persistent air leakage through the chest tube was observed due to the presence of a bronchopleural fistula (BPF). As hypercapnic respiratory failure had progressed and the large air leak did not diminish by conservative management, a pumpless extracorporeal lung assist (pECLA) device was inserted. The pECLA allowed the patient to be weaned from mechanical ventilation and the BPF to heal. The present case shows the effective application of pECLA in a patient with empyema complicated with BPF and severe hypercapnic respiratory failure. pECLA enabled us to minimize airway pressure to aid in the closure of the BPF in the mechanically ventilated patient. |
| first_indexed | 2024-12-11T09:12:00Z |
| format | Article |
| id | doaj.art-f942eaa9b91d441289f78630a37a96dc |
| institution | Directory Open Access Journal |
| issn | 2383-4870 2383-4889 |
| language | English |
| last_indexed | 2024-12-11T09:12:00Z |
| publishDate | 2017-08-01 |
| publisher | Korean Society of Critical Care Medicine |
| record_format | Article |
| series | Korean Journal of Critical Care Medicine |
| spelling | doaj.art-f942eaa9b91d441289f78630a37a96dc2022-12-22T01:13:29ZengKorean Society of Critical Care MedicineKorean Journal of Critical Care Medicine2383-48702383-48892017-08-0132328429010.4266/kjccm.2016.001851047Successful Rescue Therapy with Pumpless Extracorporeal Carbon Dioxide Removal in a Patient with Persistent Air Leakage due to EmpyemaJaeyoung ChoYeon Joo LeeJae-Ho LeeChoon-Taek LeeYoung-Jae ChoA young metastatic lung cancer patient developed empyema due to an infection with carbapenem-resistant Acinetobacter baumannii. Hydropneumothorax was detected and managed by a tube thoracotomy. However, persistent air leakage through the chest tube was observed due to the presence of a bronchopleural fistula (BPF). As hypercapnic respiratory failure had progressed and the large air leak did not diminish by conservative management, a pumpless extracorporeal lung assist (pECLA) device was inserted. The pECLA allowed the patient to be weaned from mechanical ventilation and the BPF to heal. The present case shows the effective application of pECLA in a patient with empyema complicated with BPF and severe hypercapnic respiratory failure. pECLA enabled us to minimize airway pressure to aid in the closure of the BPF in the mechanically ventilated patient.http://www.kjccm.org/upload/pdf/kjccm-2016-00185.pdfhydropneumothoraxbronchial fistulaempyemahypercapniapumpless extracorporeal lung assistrespiratory insufficiency |
| spellingShingle | Jaeyoung Cho Yeon Joo Lee Jae-Ho Lee Choon-Taek Lee Young-Jae Cho Successful Rescue Therapy with Pumpless Extracorporeal Carbon Dioxide Removal in a Patient with Persistent Air Leakage due to Empyema Korean Journal of Critical Care Medicine hydropneumothorax bronchial fistula empyema hypercapnia pumpless extracorporeal lung assist respiratory insufficiency |
| title | Successful Rescue Therapy with Pumpless Extracorporeal Carbon Dioxide Removal in a Patient with Persistent Air Leakage due to Empyema |
| title_full | Successful Rescue Therapy with Pumpless Extracorporeal Carbon Dioxide Removal in a Patient with Persistent Air Leakage due to Empyema |
| title_fullStr | Successful Rescue Therapy with Pumpless Extracorporeal Carbon Dioxide Removal in a Patient with Persistent Air Leakage due to Empyema |
| title_full_unstemmed | Successful Rescue Therapy with Pumpless Extracorporeal Carbon Dioxide Removal in a Patient with Persistent Air Leakage due to Empyema |
| title_short | Successful Rescue Therapy with Pumpless Extracorporeal Carbon Dioxide Removal in a Patient with Persistent Air Leakage due to Empyema |
| title_sort | successful rescue therapy with pumpless extracorporeal carbon dioxide removal in a patient with persistent air leakage due to empyema |
| topic | hydropneumothorax bronchial fistula empyema hypercapnia pumpless extracorporeal lung assist respiratory insufficiency |
| url | http://www.kjccm.org/upload/pdf/kjccm-2016-00185.pdf |
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