Successful use of ECMO in adults with life-threatening infections

被引:23
作者
MacLaren, G [1 ]
Pellegrino, V [1 ]
Butt, W [1 ]
Preovolos, A [1 ]
Salamonsen, R [1 ]
机构
[1] Alfred Hosp, Intens Care Unit, Melbourne, Vic 3004, Australia
关键词
ECMO; extracorporeal membrane oxygenationsepticaemia; psittacosis; life support; septic shock; staphylococcal septicaemia;
D O I
10.1177/0310057X0403200519
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Two cases of critically ill patients who received extracorporeal membrane oxygenation (ECMO) using different forms of circuitry and for different indications are presented. Both patients had life-threatening infections with septic shock and were not able to be supported by conventional means. The first patient had staphylococcal septicaemia and received venoarterial ECMO for circulatory failure. The second patient had psittacosis and received venovenous ECMO for respiratory failure. We discuss the expanding indications for this technology and the role it has to play in adult intensive care.
引用
收藏
页码:707 / 710
页数:4
相关论文
共 14 条
[1]   Extracorporeal life support - The University of Michigan experience [J].
Bartlett, RH ;
Roloff, DW ;
Custer, JR ;
Younger, JG ;
Hirschl, RB .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 283 (07) :904-908
[2]   Analysis and results of prolonged resuscitation in cardiac arrest patients rescued by extracorporeal membrane oxygenation [J].
Chen, YS ;
Chao, A ;
Yu, HY ;
Ko, WJ ;
Wu, IH ;
Chen, RJC ;
Huang, SC ;
Lin, FY ;
Wang, SS .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2003, 41 (02) :197-203
[3]   New application of heparin-bonded extracorporeal membrane oxygenation in difficult neurosurgery [J].
Chen, YS ;
Ko, WJ ;
Lin, FY ;
Huang, SC ;
Wang, SS ;
Tu, YK .
ARTIFICIAL ORGANS, 2001, 25 (08) :627-632
[4]   A review of 100 patients transported on extracorporeal life support [J].
Foley, DS ;
Pranikoff, T ;
Younger, JG ;
Swaniker, F ;
Hemmila, MR ;
Remenapp, RA ;
Copenhaver, W ;
Landis, D ;
Hirschl, RB ;
Bartlett, RH .
ASAIO JOURNAL, 2002, 48 (06) :612-619
[5]  
HILL JD, 1986, CARDIOPULMONARY BYPA, P214
[6]   Extracorporeal membrane oxygenation support for adult postcardiotomy cardiogenic shock [J].
Ko, WJ ;
Lin, CY ;
Chen, RJ ;
Wang, SS ;
Lin, FY ;
Chen, YS .
ANNALS OF THORACIC SURGERY, 2002, 73 (02) :538-545
[7]   Inter-hospital transportation of patients with severe acute respiratory failure on extracorporeal membrane oxygenation -: national and international experience [J].
Lindén, V ;
Palmér, K ;
Reinhard, J ;
Westman, R ;
Ehrén, H ;
Granholm, T ;
Frenckner, B .
INTENSIVE CARE MEDICINE, 2001, 27 (10) :1643-1648
[8]   High survival in adult patients with acute respiratory distress syndrome treated by extracorporeal membrane oxygenation, minimal sedation, and pressure supported ventilation [J].
Lindén, V ;
Palmér, K ;
Reinhard, J ;
Westman, R ;
Ehrén, H ;
Granholm, T ;
Frenckner, B .
INTENSIVE CARE MEDICINE, 2000, 26 (11) :1630-1637
[9]   Extracorporeal membrane oxygenation: A ten year experience [J].
Mols, G ;
Loop, T ;
Geiger, K ;
Farthmann, E ;
Benzing, A .
AMERICAN JOURNAL OF SURGERY, 2000, 180 (02) :144-154
[10]   RANDOMIZED CLINICAL-TRIAL OF PRESSURE-CONTROLLED INVERSE RATIO VENTILATION AND EXTRACORPOREAL CO2 REMOVAL FOR ADULT-RESPIRATORY-DISTRESS-SYNDROME [J].
MORRIS, AH ;
WALLACE, CJ ;
MENLOVE, RL ;
CLEMMER, TP ;
ORME, JF ;
WEAVER, LK ;
DEAN, NC ;
THOMAS, F ;
EAST, TD ;
PACE, NL ;
SUCHYTA, MR ;
BECK, E ;
BOMBINO, M ;
SITTIG, DF ;
BOHM, S ;
HOFFMANN, B ;
BECKS, H ;
BUTLER, S ;
PEARL, J ;
RASMUSSON, B .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1994, 149 (02) :295-305