Challenges During Repeat Extracorporeal Life Support in a Patient With Pulmonary Alveolar Proteinosis

被引：7
作者：
Lingadevaru, Hemanth
Romano, Matthew A. [2 ,3 ]
Fauman, Karen
Cooley, Elaine [2 ]
Annich, Gail M. [2 ]
Cornell, Timothy T. [1 ]
机构：
[1] Univ Michigan, Div Pediat Crit Care Med, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Extracorporeal Life Support ECLS Program, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Sect Cardiac Surg, Ann Arbor, MI 48109 USA
来源：
ASAIO JOURNAL | 2011年 / 57卷 / 05期
关键词：
MEMBRANE-OXYGENATION; LUNG LAVAGE;
D O I：
10.1097/MAT.0b013e31822c151c
中图分类号：
R318 [生物医学工程];
学科分类号：
0831 ;
摘要：
Extracorporeal life support (ECLS) is used to support patients with pulmonary alveolar proteinosis (PAP) both during acute illness and during lung lavage therapies. We report the challenges encountered while providing ECLS for respiratory failure to a 12-year-old girl with PAP who had previously received ECLS as a toddler for a prior episode of respiratory failure due to PAP. She was placed on venovenous-arterial (VVA) ECLS and subsequently switched to venovenous (VV) ECLS with drainage from the right femoral vein and reinfusion by a long cannula placed into the right atrium. Our case illustrates standard cannulation may not be possible for children requiring a second ECLS course and the importance of considering alternative modes of cannulation and ECLS support when conventional methods are not possible. ASAIO Journal 2011; 57:473-474.
引用
收藏
页码：473 / 474
页数：2
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