Korean J Crit Care Med.  2016 May;31(2):156-161. 10.4266/kjccm.2016.31.2.156.

Extracorporeal Membrane Oxygenation Therapy for Aspiration Pneumonia in a Patient following Left Pneumonectomy for Lung Cancer

• Jo J
• Ryu YG

• KMID: 2350925
• DOI: http://doi.org/10.4266/kjccm.2016.31.2.156

Abstract

A patient had undergone left pneumonectomy for lung cancer and had an increased risk of fatal complications such as pneumonia, including acute respiratory distress syndrome (ARDS). The treatment effects of veno-venous extracorporeal membrane oxygenation (VV-ECMO) for ARDS of postpneumonectomy patient are uncertain. A 74-year-old man with one lung experienced aspiration pneumonia while swallowing pills after the operation, and his condition progressed to ARDS within a day. He was successfully treated with VV-ECMO support and intensive care unit care.

Keyword

aspiration pneumonia; extracorporeal membrane oxygenation; pneumonectomy; respiratory distress syndrome

MeSH Terms

Aged
Deglutition
Extracorporeal Membrane Oxygenation*
Humans
Intensive Care Units
Lung Neoplasms*
Lung*
Pneumonectomy*
Pneumonia
Pneumonia, Aspiration*
Respiratory Distress Syndrome, Adult

Figure

• 

  Fig. 1. Serial chest radiographs. (A) Hospital day (HD) number #1, immediately after aspirating water. (B) HD number #3, in intensive care unit. (C) On day 2 of extracorporeal membrane oxygenation (ECMO). (D) Improved consolidation in right lung on day 6 of ECMO. (E) 1 hour after weaning from ECMO. (F) HD number #14, pneumonic infiltration in right lower ling field.

• 

  Fig. 2. Brief course of the patient. HD: hospital day; ICU: intensive care unit; ECMO: extracorporeal membrane oxygenation.

Reference

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