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Two cases of extracorporeal membrane oxygenation for ventilator-dependent infants with bronchopulmonary dysplasia and pulmonary hypertension

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주제분류소아과학

초록

Bronchopulmonary dysplasia (BPD) and pulmonary hypertension (PH) are potentially fatal complications in prematurely born infants. Extracorporeal membrane oxygenation (ECMO) may be a life-saving option for managing infants with BPD and PH. We present 2 patients who were successfully weaned off mechanical ventilators (MVs) through the application of ECMO. The patients were transferred to our institution after receiving MV care for 8 and 10 months, respectively, for BPD and PH. We were able to remove the patients from MVs after a period of ECMO-mediated lung rest. Although more research is required to determine specific criteria for ECMO use in patients with BPD and PH, our clinical experiences may contribute to the early application of ECMO in MV-dependent patients.

Abstract

Bronchopulmonary dysplasia (BPD) and pulmonary hypertension (PH) are potentially fatal complications in prematurely born infants. Extracorporeal membrane oxygenation (ECMO) may be a life-saving option for managing infants with BPD and PH. We present 2 patients who were successfully weaned off mechanical ventilators (MVs) through the application of ECMO. The patients were transferred to our institution after receiving MV care for 8 and 10 months, respectively, for BPD and PH. We were able to remove the patients from MVs after a period of ECMO-mediated lung rest. Although more research is required to determine specific criteria for ECMO use in patients with BPD and PH, our clinical experiences may contribute to the early application of ECMO in MV-dependent patients.

참고문헌 (12)

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  7. Kim HR, "Differences in comorbidities and clinical burden of severe bronchopulmonary dysplasia based on disease severity", Front Pediatr, 9, pp.664033~ (2021)
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  11. Pooboni SK, "Vascular access in ECMO", Indian J Thorac Cardiovasc Surg, 37(Suppl 1), pp.221~231 (2021)
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관련 논문AI추천

Survival of the Infants with Bronchopulmonary Dysplasia and Congenital Heart DiseaseJin Young Song, Min Sub Jeung, Se In Sung, Young Hwa Kong대한신생아학회 · Neonatal medicine2016 · 제23권 제4호정맥-정맥 도관 체외막형 산소섭취로 치료한 신생아의 지속성 폐동맥 고혈압증 2례허준, 강이석, 김은선, 김진규, 박원순, 서현주, 성세인, 안소윤, 양지혁, 유혜수, 유희준, 장윤실, 전태국, 최서희대한신생아학회 · Neonatal medicine2010 · 제17권 제1호체외막형산소섭취로 치료한 선천성 횡격막 탈장 4례김기수, 김대연, 김보은, 김성국, 김성철, 김애란, 김영아, 박성종, 박정준, 윤태진, 이병섭, 피수영, 하은주대한신생아학회 · Neonatal medicine2009 · 제16권 제1호Response to Inhaled Nitric Oxide and Clinical Outcome in Very Low Birth Weight Infants with Early Pulmonary HypertensionAi-Rhan Kim, Byong Sop Lee, Euiseok Jung, Jae-Young Cho, Jiyoon Jeong, Ki-Soo Kim, Moon Yeon Oh, Teahyen Cha대한신생아학회 · Neonatal medicine2020 · 제27권 제3호Clinical Characteristics, Presentation, and Outcomes of Bronchopulmonary Dysplasia-Associated Pulmonary Hypertension김도현, Han Suk Kim대한신생아학회 · Neonatal medicine2018 · 제25권 제3호기관지폐이형성증 환아에서 폐고혈압의 임상 경과 및 예후에 관한 분석: 단일 기관 연구허준, 강이석, 김지현, 안강모, 이상일, 이흥재대한 소아알레르기 호흡기학회 · Allergy Asthma & Respiratory Disease2008 · 제18권 제3호

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