Bibliographic Details
| Title: |
Massive aspiration syndrome: a possible indication for 'emergent' veno-venous extracorporeal membrane oxygenation?: a case report |
| Authors: |
Emiliano Gamberini, Venerino Poletti, Emanuele Russo, Alessandro Circelli, Marco Benni, Giovanni Scognamiglio, Domenico Pietro Santonastaso, Costanza Martino, Linda Domenichini, Romina Biondi, Giorgia Bastoni, Etrusca Brogi, Luca Ansaloni, Federico Coccolini, Paola Fugazzola, Martina Spiga, Vanni Agnoletti |
| Source: |
Journal of Medical Case Reports, Vol 15, Iss 1, Pp 1-5 (2021) |
| Publisher Information: |
BMC, 2021. |
| Publication Year: |
2021 |
| Collection: |
LCC:Medicine |
| Subject Terms: |
ECMO, Massive aspiration, Shock, ICU, Medicine |
| More Details: |
Abstract Background Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is usually performed in cases of severe respiratory failure in which conventional and advanced mechanical ventilation strategies are ineffective in achieving true lung-protective ventilation, thus triggering ventilatory-induced lung injury. If circulatory failure coexists, veno-arterial ECMO (VA-ECMO) may be preferred over VV-ECMO because of its potential for circulatory support. In VA-ECMO, the respiratory contribution is less effective and the complication rate is higher than in the VV configuration. Case presentation The authors present a case in which VV-ECMO was performed in an emergency setting to treat a 68-year-old White male patient who experienced acute respiratory failure after massive aspiration. Despite intubation and intensive care unit admission, multiple organ failure occurred suddenly, thus prompting referral to a level-1 trauma center with an ECMO facility. The patient’s condition slowly improved with VV-ECMO support along with standard treatment for hemodynamic impairment. VV-ECMO was discontinued on day 8. The patient was extubated on day 14 and discharged home fully recovered 34 days after the event. Conclusions Attention was focused on the decision to initiate VV-ECMO support even in the presence of severe hemodynamic derangement, although VA-ECMO could have provided better hemodynamic support but less effective respiratory support. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1752-1947 |
| Relation: |
https://doaj.org/toc/1752-1947 |
| DOI: |
10.1186/s13256-021-03050-7 |
| Access URL: |
https://doaj.org/article/7d2d63d13dbf411dbd6266959b20ad58 |
| Accession Number: |
edsdoj.7d2d63d13dbf411dbd6266959b20ad58 |
| Database: |
Directory of Open Access Journals |
