Extracorporeal Membrane Oxygenation as a Rescue Therapy in a Patient with Non-Iatrogenic Massive Hemoptysis
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Despite the advanced technologies of intensive care, massive hemoptysis can still cause death in a small subset of patients. Extracorporeal membrane oxygenation (ECMO) is expected to provide adequate gas exchange, to reduce ventilator-induced lung injuries, and to eventually improve outcomes in these patients. Also, the instability of vital signs due to hemoptysis makes it impossible to perform immediate interventional procedures such as embolization and resectional surgery. In these cases, ECMO may be instituted as a bridge therapy. Herein, we describe the detailed course of our case, with the hopes of helping physicians to decide when to initiate ECMO in patients with massive hemoptysis.
Abstract
Despite the advanced technologies of intensive care, massive hemoptysis can still cause death in a small subset of patients. Extracorporeal membrane oxygenation (ECMO) is expected to provide adequate gas exchange, to reduce ventilator-induced lung injuries, and to eventually improve outcomes in these patients. Also, the instability of vital signs due to hemoptysis makes it impossible to perform immediate interventional procedures such as embolization and resectional surgery. In these cases, ECMO may be instituted as a bridge therapy. Herein, we describe the detailed course of our case, with the hopes of helping physicians to decide when to initiate ECMO in patients with massive hemoptysis.
참고문헌 (10)
- Sakr L, "Massive hemoptysis: an update on the role of bronchoscopy in diagnosis and management", Respiration, 80, pp.38~58 (2010)
- Brodie D, "Extracorporeal membrane oxygenation for ARDS in adults", N Engl J Med, 365, pp.1905~1914 (2011)
- Hsu SJ, "Life-threatening hemoptysis due to left inferior phrenic artery to pulmonary artery fistula rescued by extracorporeal membrane oxygenation therapy", Interact Cardiovasc Thorac Surg, 12, pp.337~338 (2011)
- 유재석, "대량객혈 환자에서 사용된 정맥 정맥간 및 정맥 동맥간 체외막 산소화 장치의 적용 −1예 보고−", The Korean Journal of Thoracic and Cardiovascular Surgery, 41(6), pp.764~767 (2008), 대한흉부외과학회
- Bianchini R, "Extracorporeal membrane oxygenation for Swan-Ganz induced intraoperative hemorrhage", Ann Thorac Surg, 83, pp.2213~2214 (2007)
- Dweik RA, "Role of bronchoscopy in massive hemoptysis", Clin Chest Med, 20, pp.89~105 (1999)
- Zapol WM, "Extracorporeal membrane oxygenation in severe acute respiratory failure. A randomized prospective study", JAMA, 242, pp.2193~2196 (1979)
- Morris AH, "Randomized clinical trial of pressure- controlled inverse ratio ventilation and extracorporeal CO2 removal for adult respiratory distress syndrome", Am J Respir Crit Care Med, 149, pp.295~305 (1994)
- Peek GJ, "CESAR trial collaboration: Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial", Lancet, 374, pp.1351~1363 (2009)
- Lappa A, "Weaning from venovenous extracorporeal membrane oxygenation without anticoagulation: is it possible?", Ann Thorac Surg, 94, pp.e1~e3 (2012)