alexa Extracorporeal Membrane Oxygenation for Adult Respiratory Distress Syndrome after Near-drowning | OMICS International | Abstract
ISSN: 2167-0870

Journal of Clinical Trials
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Case Report

Extracorporeal Membrane Oxygenation for Adult Respiratory Distress Syndrome after Near-drowning

Andreas Pikwer1, Kenneth Palmér2 and Jonas Åkeson1*
1 Department of Anaesthesiology and Intensive Care Medicine, Lund University, Skåne University Hospital, Malmö, Sweden
2 ECMO-Center, Astrid Lindgren Children's Hospital, Karolinska Institute, Karolinska Hospital, Stockholm, Sweden
Corresponding Author : Jonas Åkeson, MD, PhD
DEAA, Department of Anaesthesiology and Intensive Care Medicine
Lund University, Skåne University Hospital
SE-205 02 Malmö, Sweden
Tel: +46-40337453
Fax: +46-40337380
E-mail: [email protected]
Received April 03, 2014; Accepted June 30, 2014; Published July 02, 2014
Citation: Pikwer A, Palmér K, Åkeson J (2014) Extracorporeal Membrane Oxygenation for Adult Respiratory Distress Syndrome after Neardrowning . J Clin Trials 4:172. doi:10.4172/2167-0870.1000172
Copyright: © 2014 Pikwer A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Near-drowning victims surviving the initial period of asphyxia may develop life-threatening adult respiratory distress syndrome (ARDS). We highlight current understanding of extracorporeal membrane oxygenation (ECMO) for successful clinical management of severe ARDS in adult near-drowning victims with reference to a recent case of accidental submersion.
Patient: Previously healthy 18-year-old female near-drowning victim with progressive hypoxaemia,
hypercapnaemia, acidaemia and multiple organ failure.
Results: Rapid restitution of respiratory function during a three-day period of treatment with venovenous ECMO.
Conclusion: Extracorporeal membrane oxygenation is a feasible option in near-drowning adult victims with
progressive ARDS not responding appropriately to conventional protective ventilation.

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