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
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.|
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.