Successful therapy of severe pneumonia-associated ARDS after pneumonectomy with ECMO and steroids

The Annals of Thoracic Surgery
Martin DünserAndreas J Mayr

Abstract

Pneumonia and acute respiratory distress syndrome are life-threatening complications after pneumonectomy carrying high mortality. Because pulmonary reserve is inadequately low, an effective therapeutic strategy is needed to treat hypoxia. Extracorporeal membrane oxygenation is a highly effective method to reverse hypoxia in patients with acute respiratory distress syndrome, but has only once been described in a patient with postpneumonectomy pulmonary edema. We report a case of successful extracorporeal membrane oxygenation therapy in a patient with pneumonia-associated acute respiratory distress syndrome after pneumonectomy. Methylprednisolone therapy caused a dramatic improvement of pulmonary and systemic organ function.

References

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Citations

Jan 6, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mauricio FicaClaudio Suárez
Sep 29, 2006·Thoracic Surgery Clinics·P James Villeneuve, Sudhir Sundaresan
Oct 31, 2015·Thoracic Surgery Clinics·Luis F TapiasDouglas J Mathisen
Feb 15, 2005·Thoracic Surgery Clinics·Charl J De WetEric Jacobsohn
Mar 25, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Philippe RinieriJean-Marc Baste
Nov 17, 2005·The International Journal of Artificial Organs·D JeggerL K Von Segesser
Feb 19, 2021·The Thoracic and Cardiovascular Surgeon·Alice BelliniFederico Rea

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