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Please use this identifier to cite or link to this item:
http://ntur.lib.ntu.edu.tw/handle/246246/171928
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| Title: | Use of Extracorporeal Membrane Oxygenation to Rescue a Child with Acute Respiratory Distress Syndrome |
| Authors: | 謝榮賢;陳益祥;柯文哲
HSIEH, JUNG-HSIEN;CHEN, YIH-SHARNG;KO, WEN-JE |
| Contributors: | 外科部 |
| Date: | 2000 |
| Issue Date: | 2009-10-22T13:16:20Z |
| Abstract: | Acute respiratory distress syndrome (ARDS) carries a high mortality of about 60%. The results of conventional treatments for ARDS are poor. We report the use of extracorporeal membrane oxygenation (ECMO) to rescue a child with ARDS. The patient, a 7-year-old boy, underwent a Ross procedure and mitral valvuloplasty because of severe aortic and mild mitral regurgitation.;ARDS due to massive transfusion and prolonged cardiopulmonary by-pass developed in the early postoperative period. Hypoxemia persisted despite conventional treatments, including pressure- controlled ventilation and high-frequency ventilation. Finally, venovenous ECMO was used to rescue the patient. With ECMO support, gas exchange was well maintained with a lower ventilator setting, and ventilator-induced Lung injuries were avoided. ECMO was used for 183 hours, at which point the boy was weaned without complications. His recovery was uneventful. At the latest followup, 6 months after the operation, he was in New York Heart Association function class I and had no complaints of lung disease. This case suggests that venovenous ECMO can be a rescue method for patients with ARDS that is refractory to conventional treatments. |
| Relation: | JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION v.99 n.3 pp.257-260 |
| Appears in Collections: | [附設醫院外科部] 期刊論文
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