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Acute Med Surg. 2018 Aug 12;5(4):390-394. doi: 10.1002/ams2.365. eCollection 2018 Oct.
Preparedness for rapid veno-venous extracorporeal membrane oxygenation introduction for pediatric severe acute respiratory distress syndrome: a case report.
Toida C1,2, Muguruma T1, Hashiba K3, Gakumazawa M1, Morimura N2.
Author information
Abstract
Case:
Previous research has suggested that venovenous extracorporeal membrane oxygenation (vvECMO) is useful for patients refractory to conventional therapy. We report a pediatric case of influenza A(H1N1)pdm09 infection with a good outcome following rapid initiation of vvECMO.This patient was a 13-year-old boy with severe acute respiratory distress syndrome due to influenza virus. Severe acute respiratory distress syndrome according to the Berlin definition, Murray score of 3.3, and severe air leak syndrome were found.
Outcome:
Puncture for the cannula began 67 min after admission, and vvECMO management was rapidly initiated within 90 min after admission. Introduction of vvECMO required 23 min to complete. The patient was weaned from vvECMO on day 5 and he was discharged home without any complication.
Conclusion:
It is essential to prepare a system that enables the rapid introduction of vvECMO for children in the emergency center.
KEYWORDS:
Acute respiratory failure; critically ill pediatric patient; emergency center
PMID: 30338088 PMCID: PMC6167394 DOI: 10.1002/ams2.365
Preparedness for rapid veno-venous extracorporeal membrane oxygenation introduction for pediatric severe acute respiratory distress syndrome: a case report.
Toida C1,2, Muguruma T1, Hashiba K3, Gakumazawa M1, Morimura N2.
Author information
Abstract
Case:
Previous research has suggested that venovenous extracorporeal membrane oxygenation (vvECMO) is useful for patients refractory to conventional therapy. We report a pediatric case of influenza A(H1N1)pdm09 infection with a good outcome following rapid initiation of vvECMO.This patient was a 13-year-old boy with severe acute respiratory distress syndrome due to influenza virus. Severe acute respiratory distress syndrome according to the Berlin definition, Murray score of 3.3, and severe air leak syndrome were found.
Outcome:
Puncture for the cannula began 67 min after admission, and vvECMO management was rapidly initiated within 90 min after admission. Introduction of vvECMO required 23 min to complete. The patient was weaned from vvECMO on day 5 and he was discharged home without any complication.
Conclusion:
It is essential to prepare a system that enables the rapid introduction of vvECMO for children in the emergency center.
KEYWORDS:
Acute respiratory failure; critically ill pediatric patient; emergency center
PMID: 30338088 PMCID: PMC6167394 DOI: 10.1002/ams2.365