AbstrakManajemen pasien dengan ventil.asi melcanik pada gagal napas akut dan / atau aù;Jt respiratory dishess syndrome di negaranegara berkembang biasanya dilalalkan oleh ahli anestesiologi. Di negara maju pun, gagal napas akut, terutama adult respiratory distress syndromemempunyaimortalitasyang masihtinggi. Extracorporeal membrane oxygenator (ECMO) merupakaninovasi teknologi tinggi dalam bidang inaensive care medicine yang dimulai sejak 20 tahun lampau. Pada beberapa unit perawatan intensif di negara majA ECMO digunalcan pada gagal napas akut sebagai rescue therapy atau sèbagai terapi alternartf pada predil
Persistent pulmonary hypertension of thenewborn (PPHN) is rare, but life-threatening.If not treated, PPHN may cause respiratoryfailure and death in neonates. l,2,3 PPHNoften occurs in term or post-term infants with a historyof difficult labor, infection or asphyxia during birth.These infants do not have adequate oxygen duringlabor.3 Based on etiology, PPHN can be categorizedinto primary PPHN, which occurs by itself withoutapparent cause; or secondary PPHN, which is causedby meconium aspiration, hyaline membrane disease,neonatal sepsis with pneumonia, congenital heartabnormality, or maternal drug use (non-steroidalanti-inflammatories, methamphetamine, or selectiveserotonin re uptake inhibitors) during the thirdtrimester of pregnancy.
We report the first Indonesian baby delivered by cesarean section and developed into metabolic acidosis, severe respiratory failure due to meconium aspiration accompanied by right pneumothorax. The case was successfully managed with extracorporeal membrane oxygenation (ECMO).
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