Successful therapy of severe pneumonia-associated ARDS after pneumonectomy with ECMO and steroids |
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Authors: | Dünser Martin Hasibeder Walter Rieger Michael Mayr Andreas J |
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Affiliation: | a Division of General and Surgical Intensive Care Medicine, Departments of Anesthesia and Critical Care Medicine, Leopold-Franzens-University of Innsbruck, Innsbruck, Austria b Radiology, Leopold-Franzens-University of Innsbruck, Innsbruck, Austria |
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Abstract: | Pneumonia and acute respiratory distress syndrome are life-threatening complications after pneumonectomy carrying high mortality. Because pulmonary reserve is inadequately low, an effective therapeutic strategy is needed to treat hypoxia. Extracorporeal membrane oxygenation is a highly effective method to reverse hypoxia in patients with acute respiratory distress syndrome, but has only once been described in a patient with postpneumonectomy pulmonary edema. We report a case of successful extracorporeal membrane oxygenation therapy in a patient with pneumonia-associated acute respiratory distress syndrome after pneumonectomy. Methylprednisolone therapy caused a dramatic improvement of pulmonary and systemic organ function. |
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Keywords: | 25 |
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