급성 기도폐쇄 환자에서 일시적인 체외막산소화장치를 이용한 성공적 기도확보 3예 -증례 보고-
Extracorporeal Membrane Oxygenation as a Bridge to Definitive Airway Security in 3 Severe Acute Extrinsic Airway Compression Patients -A Case Report-
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Extracorporeal membrane oxygenation (ECMO) has been used for cardiac and respiratory failure for over 30 years. Recently, however, ECMO has emerged as a useful means of short-term support in the management of hypoxic patients for nontraditional indications. Here, we report the use of veno-venous ECMO as a bridge to support a patient with severe airway obstruction because of tumor compression. Case 1: A patient with extrinsic airway compression secondary to a large metastatic cancer on neck was successfully managed using ECMO. Case 2: The successful use of ECMO to support a patient with extrinsic airway compression secondary to a recurred thyroid cancer. Case 3: A pregnant woman with airway obstruction secondary to metastatic lymphadenopathy of lung cancer who underwent successful tracheal stent insertion. The 3 patients were successfully weaned off ECMO without any complication. Although these conditions are uncommon indications, ECMO is a potential option for such life-threatening conditions.
Abstract
Extracorporeal membrane oxygenation (ECMO) has been used for cardiac and respiratory failure for over 30 years. Recently, however, ECMO has emerged as a useful means of short-term support in the management of hypoxic patients for nontraditional indications. Here, we report the use of veno-venous ECMO as a bridge to support a patient with severe airway obstruction because of tumor compression. Case 1: A patient with extrinsic airway compression secondary to a large metastatic cancer on neck was successfully managed using ECMO. Case 2: The successful use of ECMO to support a patient with extrinsic airway compression secondary to a recurred thyroid cancer. Case 3: A pregnant woman with airway obstruction secondary to metastatic lymphadenopathy of lung cancer who underwent successful tracheal stent insertion. The 3 patients were successfully weaned off ECMO without any complication. Although these conditions are uncommon indications, ECMO is a potential option for such life-threatening conditions.
참고문헌 (18)
- Schuerer DJ, "Extracorporeal membrane oxygenation: current clinical practice, coding, and reimbursement", Chest, 134, pp.179~184 (2008)
- Chalwin RP, "The role of extracorporeal membrane oxygenation for treatment of the adult respiratory distress syndrome: review and quantitative analysis", Anaesth Intensive Care, 36, pp.152~161 (2008)
- Kopp R, "Role of extracorporeal lung assist in the treatment of acute respiratory failure", Minerva Anestesiol, 72, pp.587~595 (2006)
- Park HY, "Successful application of extracorporeal membrane oxygenation for 3 patients in medical intensive care unit: case report", Korean J Crit Care Med, 22, pp.91~95 (2007)
- 박병훈, "장기간 체외막형산소섭취 사용 후 호전된 중증 급성호흡곤란증후군 1예-증례 보고", 대한중환자의학회지, 25(1), pp.37~42 (2010), 대한중환자의학회
- 김형수, "정-정맥 체외막형산소화요법을 이용한 급성호흡부전의 료", Tuberculosis and Respiratory Diseases, 68(2), pp.62~66 (2010), 대한결핵및호흡기학회
- Goldman AP, "Extracorporeal membrane oxygenation as a bridge to definitive tracheal surgery in children", J Pediatr, 128, pp.386~388 (1996)
- Masiakos PT, "Extracorporeal membrane oxygenation for nonneonatal acute respiratory failure", Arch Surg, 134, pp.375~379 (1999)
- Hsieh PC, "Successful resuscitation of acute massive pulmonary embolism with extracorporeal membrane oxygenation and open embolectomy", Ann Thorac Surg, 72, pp.266~267 (2001)
- 이일, "허혈성 심질환으로 인해 병원 내에서 발생한 심정지 혹은 심인성 쇼크에 있어서의 경피적 심폐 보조장치의 치료 경험", The Korean Journal of Thoracic and Cardiovascular Surgery, 39(3), pp.201~207 (2006), 대한흉부외과학회
- Clowes GH Jr, "An artificial lung dependent upon diffusion of oxygen and carbon dioxide through plastic membranes", J Thorac Surg, 32, pp.630~637 (1956)
- Hill JD, "Prolonged extracorporeal oxygenation for acute post-traumatic respiratory failure (shock-lung syndrome). Use of the Bramson membrane lung", N Engl J Med, 286, pp.629~634 (1972)
- Stewart AS, "Severe acute extrinsic airway compression by mediastinal tumor successfully managed with extracorporeal membrane oxygenation", ASAIO J, 44, pp.219~221 (1998)
- Hines MH, "New Uses of ECLS. In: Extracorporeal cardiopulmonary support in ciritical care, In Extracorporeal Life Support Organization", pp.609~614 (2005), Ann Arbor
- Belmont MJ, "The difficult airway: cardiopulmonary bypass--the ultimate solution", Head Neck, 20, pp.266~269 (1998)
- Gattinoni L, "Low-frequency positive-pressure ventilation with extracorporeal CO2 removal in severe acute respiratory failure", JAMA, 256, pp.881~886 (1986)
- Brown JK, "Acute lung injury and acute respiratory distress syndrome: extracorporeal life support and liquid ventilation for severe acute respiratory distress syndrome in adults", Semin Respir Crit Care Med, 27, pp.416~425 (2006)
- Bartlett RH, "Extracorporeal life support: the University of Michigan experience", JAMA, 283, pp.904~908 (2000)