Search

Your search keyword '"Gillham, Michael"' showing total 2 results
Start Over Author "Gillham, Michael" Topic extracorporeal membrane oxygenation
2 results on '"Gillham, Michael"'

1. Prominent eustachian valve: An uncommon cause of a common problem during extracorporeal membrane oxygenation support.

Author

Ram D, Gillham M, and Sibal AK

Subjects
Cannula, Humans, Cardiovascular Abnormalities, Extracorporeal Membrane Oxygenation, Heart Diseases, Lung Transplantation
Abstract

Suck down events in an extracorporeal membrane oxygenation (ECMO) circuit, due to vein wall being suctioned onto the cannula inflow ports, lead to low circuit flows. These low flow states can be reversed with fluid administration. We present a patient with a prominent eustachian valve (EV) which was encountered while managing the patient on ECMO post lung transplantation for pleuroparenchymal fibroelastosis. We hypothesize that presence of a prominent EV can induce suck down events and needs to be recognized in the differential diagnosis of this problem. This case adds to the literature to increase the awareness of this rare but significant problem., (© 2020 Wiley Periodicals LLC.)

Published
2021
Full Text
View/download PDF

2. Bedside placement of an endobronchial valve to aid invasive ventilation and weaning from extracorporeal membrane oxygenation.

Author

Hodges AM, Gillham MJ, and Lewis CA

Subjects
Adolescent, Bronchial Fistula etiology, Fusobacterium Infections complications, Fusobacterium Infections diagnosis, Fusobacterium Infections therapy, Fusobacterium necrophorum, Humans, Hypoxia diagnosis, Hypoxia etiology, Hypoxia therapy, Male, Pleural Diseases etiology, Pneumonia, Bacterial complications, Pneumonia, Bacterial diagnosis, Pneumonia, Bacterial therapy, Point-of-Care Systems, Respiratory Insufficiency diagnosis, Respiratory Insufficiency etiology, Respiratory Insufficiency therapy, Bronchial Fistula diagnosis, Bronchial Fistula therapy, Bronchoscopy, Extracorporeal Membrane Oxygenation, Pleural Diseases diagnosis, Pleural Diseases therapy
Abstract

A bronchopleural fistula (BPF) is a life-threatening complication of cardiothoracic surgery and acute illness. There is no consensus on how best to treat a BPF. Recently, endobronchial one-way valves, designed for bronchoscopic lung volume reduction in emphysema, have been used to treat BPFs. We describe the use of an endobronchial oneway valve, placed at the bedside via flexible bronchoscopy, to treat a BPF in a patient with hypoxic respiratory failure, supported by extracorporeal membrane oxygenation (ECMO), secondary to pneumonia. We believe that this is the first published description of this technique being used in a patient needing ECMO support.

Published
2015

Catalog

Books, media, physical & digital resources
See catalog results