Successful extracorporeal membranous oxygenation for a patient with life-threatening transfusion-related acute lung injury

Kuroda, Hajime; Masuda, Yoshiki; Imaizumi, Hitoshi; Kozuka, Yuji; Asai, Yasufumi; Namiki, Akiyoshi

doi:10.1007/s00540-009-0760-5

Cited by 22 publications

(14 citation statements)

References 8 publications

(15 reference statements)

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“…ECMO has been successfully used in the management of acute reversible pulmonary failure. Several reports have found a higher survival rate in patients with acute respiratory distress syndrome treated with ECMO [4] [5] [6]. Although the application of ECMO in acute respiratory distress syndrome is con-Open Journal of Thoracic Surgery troversial because of high incidence of morbidities, early use of ECMO enables us to reduce the patient's fraction of inspiratory oxygen and peak inspiratory pressure and can prevent ventilator-induced lung injury [5].…”

Section: Discussionmentioning

confidence: 99%

Kayo Sugiyama*, Hirotaka Watanuki, Masaho Okada, Yasuhiro Futamura, Atomu Tajima, Rokuki Kiyosawa, Katsuhiko Matsuyama

Sugiyama¹,

Watanuki²,

Okada³

et al. 2018

OJTS

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Transfusion-related acute lung injury (TRALI) is characterized by acute severe hypoxemia with bilateral noncardiogenic pulmonary edema after transfusion of a plasma-containing blood component. In patients undergoing cardiac surgery, the incidence of TRALI is high; however, the detailed clinical course is unknown. Here, we report a case of life-threatening TRALI following pulmonary thrombectomy, which was successfully treated with extracorporeal membranous oxygenation (ECMO).

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Section: Discussionmentioning

confidence: 99%

Kayo Sugiyama*, Hirotaka Watanuki, Masaho Okada, Yasuhiro Futamura, Atomu Tajima, Rokuki Kiyosawa, Katsuhiko Matsuyama

Sugiyama¹,

Watanuki²,

Okada³

et al. 2018

OJTS

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“…First case report of using prolonged bypass for TRALI treatment was described by Nouraei et al in 2003 [9]. There are very few other cases describing using ECMO in TRALI reported in literature [10,11]. Prevention of the syndrome should consist of restrictive transfusion strategy and use of plasma with clear clinical indications only.…”

Section: Discussionmentioning

confidence: 99%

Transfusion-Related Acute Lung Injury in Multiple Trauma Patient: Successful Use of Extracorporeal Membrane Oxygenation

Karosas

Bakšienė²,

Šipylaitė

et al. 2017

Medicinos Teorija Ir Praktika

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SANTRAUKASu transfuzija susijęs ūminis plaučių pažeidimas yra pagrindinė sergamumo ir mirštamumo priežastis tarp su transfuzijomis susijusių reakcijų. Sindromas pasireiškia po kraujo plazmos turinčių komponentų transfuzijos. Straipsnyje aprašomas klinikinis atvejis apie su transfuzija susijusį plaučių pažeidimą ligoniui po politraumos. Gydant buvo sėkmingai pritaikytas ekstrakorporinės membraninės oskigenacijos metodas. ABSTRACTKey words: acute lung injury, blood transfusion, extracorporeal membrane oxygenation. Transfusion-related acute lung injury is the leading cause of morbidity and mortality among transfusion related reactions. The syndrome develops within 6 hours of transfusion of plasma containing blood products. We present a case report of a patient with multiple trauma who developed severe transfusion-related acute lung injury and was successfully managed with extracorporeal membrane oxygenation.

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“…7,12 The use of VA ECMO is also increasingly described for toxic ingestions resulting in intractable hemodynamic instability, as well as a range of other conditions. [13][14][15][16][17][18][19] The role of ECMO in accidental hypothermia is particularly relevant to emergency medicine; a recent review in the New England Journal of Medicine advocated the use of ECMO in cardiac arrest caused by accidental hypothermia, even if this requires transport to another centre, in patients with a core temperature less than 32uC (89.6uF) and circumstances suggesting that cooling took place prior to the arrest. 20 Dramatic survival following the use of VA ECMO during or following cardiac arrest, as occurred in our patient, has been reported.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal membrane oxygenation after protracted ventricular fibrillation cardiac arrest: case report and discussion

Abu‐Laban

Migneault

Grant

et al. 2015

CJEM

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Extracorporeal membrane oxygenation (ECMO) is a method to provide temporary cardiac and respiratory support to critically ill patients. In recent years, the role of ECMO in emergency departments (EDs) for select adults has increased. We present the dramatic case of a 29-year-old man who was placed on venoarterial ECMO for cardiogenic shock and respiratory failure following collapse and protracted ventricular fibrillation cardiac arrest in our ED. Resuscitation efforts prior to ECMO commencement included 49 minutes of virtually continuous cardiopulmonary resuscitation (CPR), 11 defibrillations, administration of numerous medications, including a thrombolytic agent, while CPR was ongoing, percutaneous coronary intervention and stenting for a mid-left anterior descending coronary artery dissection and thrombotic occlusion, inotropic support, and intra-aortic balloon pump counterpulsation. Over the next 48 hours following ECMO commencement, the patient's cardiorespiratory function rapidly improved, and he was discharged home 9 days after admission with no neurologic sequelae. The history, indications, and increasing role of ECMO in a range of conditions, including cardiac arrest, are reviewed. RÉ SUMÉL'oxygé nation extracorporelle sur oxygé nateur à membrane (OEOM) est un moyen de fournir une assistance cardiaque et respiratoire temporaire à des patients gravement malades. Le rô le de l'OEOM a gagné du terrain chez certains adultes aux services des urgences (SU) au cours des derniè res anné es. Sera exposé ici le cas spectaculaire d'un homme de 29 ans, soumis à l'OEOM veino-arté rielle pour un choc cardiogé nique et une insuffisance respiratoire suivant un collapsus et un arrê t cardiaque causé par un accè s prolongé de fibrillation ventriculaire, qui est survenu au SU de l'hô pital. Les moyens de ré animation mis en oeuvre avant le dé but de l'OEOM comprenaient des manoeuvres de ré animation cardiorespiratoire (RCR) pratiqué es de faç on quasi continue durant 49 minutes; 11 tentatives de dé fibrillation; l'administration de nombreux mé dicaments, dont un thrombolytique, pendant que se poursuivaient les manoeuvres de RCR; une intervention coronarienne percutané e et la pose d'une endoprothè se pour une dissection du segment moyen de l'artè re interventriculaire anté rieure et une oblité ration thrombotique; un soutien inotrope et la contrepulsion par ballon intra-aortique. Au cours des 48 heures suivant le dé but de l'OEOM, l'é tat cardiorespiratoire du patient s'est amé lioré rapidement, et celui-ci est retourné chez lui 9 jours aprè s son admission, et ce, sans souffrir de sé quelles neurologiques. Seront passé s en revue l'historique, les indications et le rô le de plus en plus grand de l'OEOM dans diverses affections, dont l'arrê t cardiaque.

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Successful extracorporeal membranous oxygenation for a patient with life-threatening transfusion-related acute lung injury

Cited by 22 publications

References 8 publications

Kayo Sugiyama*, Hirotaka Watanuki, Masaho Okada, Yasuhiro Futamura, Atomu Tajima, Rokuki Kiyosawa, Katsuhiko Matsuyama

Kayo Sugiyama*, Hirotaka Watanuki, Masaho Okada, Yasuhiro Futamura, Atomu Tajima, Rokuki Kiyosawa, Katsuhiko Matsuyama

Transfusion-Related Acute Lung Injury in Multiple Trauma Patient: Successful Use of Extracorporeal Membrane Oxygenation

Extracorporeal membrane oxygenation after protracted ventricular fibrillation cardiac arrest: case report and discussion

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