Unexpected complication during extracorporeal membrane oxygenation support: Ventilator associated systemic air embolism

被引：4

作者：

Ryu, Se-Min ^{[1
]}

Park, Sung-Min ^{[1
]}

机构：

[1] Kangwon Natl Univ, Kangwon Natl Univ Hosp, Sch Med, Dept Thorac & Cardiovasc Surg, 200-722,Baengnyeong Ro 156, Chunchon 24289, South Korea

来源：

WORLD JOURNAL OF CLINICAL CASES | 2018年 / 6卷 / 09期

关键词：

Air embolism; Extracorporeal membrane oxygenation; Cerebral embolism; Positive-pressure ventilation; Cardio-pulmonary resuscitation; PRESSURE;

D O I：

10.12998/wjcc.v6.i9.274

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Systemic air embolism through a bronchovenous fistula (BVF) has been described in patients undergoing positive-pressure ventilation. However, no report has mentioned the potential risks of systemic air embolism through a BVF in patients undergoing extracorporeal membrane oxygenation (ECMO). Positive-pressure ventilation and ECMO support in patients with lung injury can increase the risk of systemic air embolism through a BVF. Increased alveolar pressure, decreased pulmonary venous pressure, and anticoagulation are thought to be the factors that contribute to this complication. Here, we present a case of systemic air embolism in a patient with ECMO and mechanical ventilator support.

引用

页码：274 / 278

页数：5

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