Published in Annals of Intensive Care
BackgroundSystemic rheumatic diseases (SRDs) are a group of inflammatory disorders that can require intensive care unit (ICU) admission because of multiorgan involvement with end-organ failure(s). Critically ill SRD patients requiring extracorporeal membrane oxygenation (ECMO) were studied to gain insight into their characteristics and outcomes.Met...
Published in Journal of Intensive Care
Acute respiratory distress syndrome (ARDS) is a fatal condition with insufficiently clarified etiology. Supportive care for severe hypoxemia remains the mainstay of essential interventions for ARDS. In recent years, adequate ventilation to prevent ventilator-induced lung injury (VILI) and patient self-inflicted lung injury (P-SILI) as well as lung-...
Published in Intensive Care Medicine
Purpose Limited data are available on venovenous extracorporeal membrane oxygenation (ECMO) in patients with severe hypoxemic respiratory failure from coronavirus disease 2019 (COVID-19). Methods We examined the clinical features and outcomes of 190 patients treated with ECMO within 14 days of ICU admission, using data from a multicenter cohort stu...
Published in Indian Journal of Thoracic and Cardiovascular Surgery
Extracorporeal membrane oxygenation (ECMO) is being increasingly used in patients having sepsis-induced cardiovascular dysfunction. We report successful use of venovenous ECMO in septic shock secondary to pneumonia in the presence of severe left ventricular dysfunction. We also discuss the quantitative evaluation of cardiovascular dysfunction, whic...
Published in Respiratory Medicine Case Reports
A 66-year-old male with recent diagnosis of heart failure with reduced ejection fraction was referred to our institution for management of cardiogenic/vasodilatory shock. During his evaluation, he suffered a sudden cardiac arrest from refractory ventricular tachycardia/fibrillation (VT/VF) despite normal electrolytes and no evidence of prior ventri...
Published in Indian Journal of Thoracic and Cardiovascular Surgery
The use of extracorporeal membrane oxygenation has had a positive impact on the outcomes after lung transplantation. Extracorporeal membrane oxygenation has a role in all phases of lung transplantation—preoperative, intraoperative, and postoperative periods. It serves as a bridge to transplantation in appropriate patients awaiting lung transplantat...
Published in World Journal of Critical Care Medicine
The ongoing outbreak of severe acute respiratory syndrome coronavirus-2 [SARS-CoV-2, or coronavirus disease 2019 (COVID-19)] was declared a pandemic by the World Health Organization on March 11, 2020. Worldwide, more than 65 million people have been infected with this SARS-CoV-2 virus, and over 1.5 million people have died due to the viral illness....
Published in Critical Care
BackgroundMechanical power (MP) refers to the energy delivered by a ventilator to the respiratory system per unit of time. MP referenced to predicted body weight (PBW) or respiratory system compliance have better predictive value for mortality than MP alone in acute respiratory distress syndrome (ARDS). Our objective was to assess the potential imp...
Published in Intensive Care Medicine Experimental
BackgroundExtracorporeal membrane oxygenation (ECMO), an invasive mechanical therapy, provides cardio-respiratory support to critically ill patients when maximal conventional support has failed. ECMO is delivered via large-bore cannulae which must be effectively secured to avoid complications including cannula migration, dislodgement and accidental...
Published in Chinese Journal of Contemporary Pediatrics
患儿，男，6岁11个月，因诊断肾病综合征2年，咳嗽1个月，气促15 d入院。患儿有长期使用激素和免疫抑制剂病史，出现咳嗽和气促后完善胸部CT提示双肺弥漫性磨玻璃影，G试验阳性，呼吸道分泌物检测结果示巨细胞病毒核酸阳性，给予抗真菌及抗病毒治疗后一过性好转，短期内再次加重，肺泡灌洗液六胺银染色发现肺孢子菌。该患儿诊断为（1）重症肺炎（耶氏肺孢子菌、巨细胞病毒感染），（2）急性呼吸窘迫综合征，（3）肾病综合征。予复方新诺明、更昔洛韦抗感染治疗和呼吸支持治疗，呼吸困难仍进行性加重，并出现张力性气胸，有创呼吸机治疗第13天予体外膜肺氧合（ECMO）支持。ECMO期间经复方新诺明、更昔洛韦、利奈唑胺等抗感染、抗凝、镇静、营养和呼吸道综合管理，于72 d后成功撤离ECMO，住院时间共134 d。出院随访6...
