Acute respiratory distress syndrome (ARDS) treated successfully by veno-venous extracorporeal membrane oxygenation (ECMO) in a nearly drowned patient

作者：Sonoo Tomohiro^*; Ohshima Kazuma; Kobayashi Hiroaki; Asada Toshifumi; Hiruma Takahiro; Doi Kento; Gunshin Masataka; Murakawa Tomohiro; Anraku Masaki; Nakajima Susumu; Nakajima Jun; Yahagi Naoki

来源：Journal of Artificial Organs, 2014, 17(3): 281-284.

DOI：10.1007/s10047-014-0776-y

• Drowning
• Extracorporeal membrane oxygenation
• Acute respiratory distress syndrome

This report highlights about one acute respiratory distress syndrome (ARDS) case after near-drowning resuscitated using extracorporeal membrane oxygenation (ECMO). Few cases have been reported about ECMO use for near-drowning and in most of these cases, ECMO was initiated within the first week. However, in our report, we would like to emphasize that seemingly irreversible secondary worsening of ARDS after nearly drowned patient was successfully treated by ECMO use more than 1 week after near-drowning followed by discharge without home oxygen therapy, social support, or any complication. This is probably due to sufficient lung rest for ventilator-associated lung injury during ECMO use. Based on our case's clinical course, intensive care unit physicians must consider ECMO even in the late phase of worsened ARDS after near-drowning.

• 出版日期2014-9