Successful Rescue Therapy with Pumpless Extracorporeal Carbon Dioxide Removal in a Patient with Persistent Air Leakage Due to Empyema / 대한중환자의학회지
Korean Journal of Critical Care Medicine
; : 284-290, 2017.
Article
em En
| WPRIM
| ID: wpr-159861
Biblioteca responsável:
WPRO
ABSTRACT
A young metastatic lung cancer patient developed empyema due to an infection with carbapenem-resistant Acinetobacter baumannii. Hydropneumothorax was detected and managed by a tube thoracotomy. However, persistent air leakage through the chest tube was observed due to the presence of a bronchopleural fistula (BPF). As hypercapnic respiratory failure had progressed and the large air leak did not diminish by conservative management, a pumpless extracorporeal lung assist (pECLA) device was inserted. The pECLA allowed the patient to be weaned from mechanical ventilation and the BPF to heal. The present case shows the effective application of pECLA in a patient with empyema complicated with BPF and severe hypercapnic respiratory failure. pECLA enabled us to minimize airway pressure to aid in the closure of the BPF in the mechanically ventilated patient.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Respiração Artificial
/
Insuficiência Respiratória
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Carbono
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Dióxido de Carbono
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Toracotomia
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Tubos Torácicos
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Fístula Brônquica
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Acinetobacter baumannii
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Empiema
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Fístula
Limite:
Humans
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article