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VV ECMO

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Abstract

32-Year-old female, presented with 3 days history of shortness of breath. On evaluation patient was found to be hypoxic (oxygen saturation of 46%), with severe respiratory distress. Patient was intubated and initiated on lung protective ventilation. X-ray and USG examination revealed bilateral pneumonia. In view of persistent hypoxemia, P/F ratio of 55 mmHg, patient was initiated on prone ventilation. After 6 h of prone ventilation, patient is on 100 FiO 2, respiratory rate of 32/min, tidal volume of 6 mL/kg and Arterial blood gas (ABG) revealed pH 7.19, pCO 275 mmHg, pO 256 mmHg, SaO 278%.

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Suggested Reading

  • Brogan TV, Lequier L, et al. Extra corporeal life support: the ELSO red book. 5th ed. This book is official text of extra corporeal life support organization.

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  • Peek GJ, et al. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet. 2009;374:1351–63. This study concluded that in severe but potentially reversible respiratory failure, whose Murray score exceeds 3.0 or who have a pH of less than 7.20 on optimum conventional management, they should be transfered to a centre with an ECMO-based management to significantly improve survival without severe disability.

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  • Sangalli F, Patroniti N, Pesenti A. ECMO—extra corporeal life support in adults. Simplified textbook, describing in brief every aspect of ECMO.

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Govil, D., Praveen Kumar, G. (2020). VV ECMO. In: Chawla, R., Todi, S. (eds) ICU Protocols. Springer, Singapore. https://doi.org/10.1007/978-981-15-0902-5_30

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  • DOI: https://doi.org/10.1007/978-981-15-0902-5_30

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-0901-8

  • Online ISBN: 978-981-15-0902-5

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