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Use of ECMO-method in complex therapy of severe ARDS, complicated by development of pneumothorax. Clinical cases

Abstract

The article presents two clinical cases of using extracorporeal membrane oxygenation in the complex treatment of secondary acute respiratory distress syndrome at the ineffectiveness and inability of the traditional intensive care. The first case of veno-venous extracorporeal membrane oxygenation in a patient with severe pneumonia complicated by the development of acute respiratory distress syndrome and bilateral intense pneumothorax. The second case of extracorporeal membrane oxygenation in a patient with complicated postoperative cesarean section in the form of development of a syndrome of massive blood transfusion with damage to the lungs and bilateral intense pneumothorax, extracorporeal membrane oxygenation is a measure of temporary effective replacement of pulmonary function in the impossibility and inefficiency of artificial lung ventilation.

About the Authors

M. V. Ketskalo
City Clinical Hospital No. 52, Moscow
Russian Federation


D. S. Nechaev
City Clinical Hospital No. 52, Moscow
Russian Federation


O. O. Moskalenko
City Clinical Hospital No. 52, Moscow
Russian Federation


L. V. Rogova
City Clinical Hospital No. 52, Moscow
Russian Federation


N. Yu. Kalyanova
City Clinical Hospital No. 52, Moscow
Russian Federation


References

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3. Hangyong He, Hao Wang, Xuyan Li, Xiao Tang, Rui Wang, Bing Sun and Zhaohui Tong Successful rescue combination of extracorporeal membrane oxygenation, high-frequency oscillatory ventilation and prone positioning for the management of severe methicillin-resistant Staphylococcus aureus pneumonia complicated by pneumothorax: a case report and literature review // BMC Pulmonary Medicine (2017) 17: 103 DOI 10.1186/s12890-017-0445-z

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5. A.W.M. in‘t Veld-van Wingerden, J. Maas, H.I.J. Harinck, R. Mauritz Department of Intensive Care, Leiden University Medical Center, Leiden, the Netherlands Long-term extracorporeal membrane oxygenation in acute respiratory distress syndrome // Neth. J. Crit. Care.- Volume 19 - No 1.-February 2015


Review

For citations:


Ketskalo M.V., Nechaev D.S., Moskalenko O.O., Rogova L.V., Kalyanova N.Yu. Use of ECMO-method in complex therapy of severe ARDS, complicated by development of pneumothorax. Clinical cases. Medical alphabet. 2018;2(18):29-34. (In Russ.)

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)