1. Assistance ventilatoire par ECMO veino-veineuse pour résection d’aspergillome pulmonaire
- Author
-
Julien, F., Mosolo, A., Hubsch, J.P., Souilhamas, R., Safran, D., and Cholley, B.
- Subjects
- *
MECHANICAL ventilators , *EXTRACORPOREAL membrane oxygenation , *PULMONARY aspergillosis , *LUNG transplantation , *INTUBATION , *HYPOXEMIA , *ADULTS , *THERAPEUTICS - Abstract
Abstract: Respiratory support using extra corporeal membrane oxygenation (ECMO) is rarely used in the setting of adult lung surgery, with the exception of lung transplantation. We report the case of a patient with pulmonary aspergilloma, for whom selective bronchial intubation was required to facilitate surgery. Intolerance to unilateral ventilation was anticipated due to poor underlying lung function. Intra-operatively, an attempt to lung exclusion was responsible for severe hypoxemia. The use of veno-venous ECMO allowed to improve oxygenation and lung resection was carried out successfully at the expense of major intra-operative bleeding. [Copyright &y& Elsevier]
- Published
- 2010
- Full Text
- View/download PDF