Ambulatory ECMO as a Bridge to Lung Transplant in a Previously Well Pediatric Patient With ARDS

作者：Turner David A^*; Rehder Kyle J; Bonadonna Desiree; Gray Alice; Lin Shu; Zaas David; Cheifetz Ira M

来源：Pediatrics, 2014, 134(2): E583-E585.

DOI：10.1542/peds.2013-3435

• extracorporeal membrane oxygenation
• lung transplant
• rehabilitation
• acute respiratory distress syndrome
• acute lung injury
• air leak
• pneumothorax
• ambulation
• physical therapy
• respiratory failure
• pediatric

Extracorporeal membrane oxygenation (ECMO) is increasingly implemented in patients with end-stage pulmonary disease as a bridge to lung transplant. Several centers have instituted an approach that involves physical rehabilitation and ambulation for patients supported with ECMO. Recent reports describe the successful use of ambulatory ECMO in patients with chronic respiratory illnesses being bridged to lung transplant. We describe the first case of a previously healthy pediatric patient with acute respiratory failure successfully supported with ambulatory ECMO as a bridge to lung transplant after an unsuccessful bridge to recovery. Although there are challenges associated with awake and ambulatory ECMO in children, this strategy represents an exciting breakthrough and a potential paradigm shift in ECMO management for pediatric acute respiratory failure.

• 出版日期2014-8