Exogenous surfactant as a bridge to prolonged “total lung rest” in severely injured patient during extracorporeal membrane oxygenation

  • Peter Sklienka
  • Jan Maca
  • Filip Bursa
  • Jan Neiser
  • Roman Kula
  • Marcela Kanova
  • Tomas Danek
  • Pavel Sevcik
Case Report Artificial Lung / ECMO
  • 34 Downloads

Abstract

We report a case of a 20-year-old male patient suffering from motorcycle accident complicated by rapid development of severe refractory hypoxemia and hypercapnia due to serious bilateral lung contusions and lacerations. Positive pressure mechanical ventilation induced pressure-dependent massive air leak from disrupted pulmonary tissue. Simultaneous implementation of veno-venous extracorporeal membrane oxygenation together with surfactant application allowed prolonged disconnection of patient from mechanical ventilation (“total lung rest” mode). Despite considerable areas of nonaerated tissue on computed tomography prior to the disconnection from mechanical ventilation, almost total functional recovery of lungs was eventually achieved.

Keywords

Acute respiratory distress syndrome Extracorporeal membrane oxygenation Exogenous surfactant Total lung rest 

Notes

Acknowledgements

Support by Ministry of Health of the Czech Republic MH CZ—DRO—FNOs/2013 Grant is acknowledged.

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Copyright information

© The Japanese Society for Artificial Organs 2018

Authors and Affiliations

  1. 1.Department of Anesthesiology and Intensive Care MedicineUniversity Hospital OstravaOstravaCzech Republic
  2. 2.Department of Intensive Care Medicine and Forensic Studies, Faculty of MedicineUniversity OstravaOstravaCzech Republic
  3. 3.Department of Cardiac SurgeryUniversity Hospital OstravaOstravaCzech Republic

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