Severe exacerbation of COPD requiring ventilation.Use of vv-ECMO combined with inhalation anesthetics

被引：0
作者：
Laufenberg, M. [1 ]
Schneider, T. [2 ]
机构：
[1] Ev Krankenhaus Bethesda, Med Klin 2, Ludwig Weber Str 19, D-41061 Monchengladbach, Germany
[2] Lukaskrankenhaus GmbH, Med Klin 1, Stadt Kliniken Neuss, Neuss, Germany
来源：
MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN | 2017年 / 112卷 / 04期
关键词：
Chronic obstructive pulmonary disease; Extracorporeal membrane oxygenation; Anesthetics; Ventilation; Conscious sedation; ISOFLURANE;
D O I：
10.1007/s00063-016-0199-z
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 58-year male patient was admitted to the intensive care unit of our hospital due to an exacerbated COPD (GOLD IV) complicated by a pneumonia. The clinical course deteriorated despite of evidence based intensive care treatment and lungprotective ventilation, a vv-ECMO and a volatile sedation were established. After a few days vv-ECMO could be discontinued and the patient was discharged from hospital after 20 days. Our case report suggests that early support with vv-ECMO could reduce the cumulative duration of invasive ventilation in case of severe COPD exacerbation. The combination with volatile sedatives make it possible to guide the patient to spontaneous breathing with only a short weaning periode.
引用
收藏
页码：352 / 355
页数：4
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