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- 1. 成人における体外式膜型人工肺（ECMO） extracorporeal membrane oxygenation ecmo in adults
- 2. 循環補助装置：心肺補助装置および短期左室補助装置 circulatory assist devices cardiopulmonary assist device and short term left ventricular assist devices
- 3. Anesthesia for the child with asthma or recurrent wheezing
- 4. 敗血症性ショック：小児における蘇生後の継続的マネージメント septic shock ongoing management after resuscitation in children
- 5. 新生児の持続性肺高血圧症 persistent pulmonary hypertension of the newborn
- Extracorporeal membrane oxygenation in diffuse alveolar hemorrhage secondary to systemic lupus erythematosus.
- Claudio CP1, Charbonney E2, Durand M3, Kolan C3, Laskine M3.Author information 1Centre Hospitalier de l'Universite de Montreal, Montreal, Canada.2Hopital de Trois-Rivieres and Hopital du Sacre-Coeur de Montreal, Montreal, Canada.3Department of Medicine, Hopital Hotel-Dieu, CRCHUM, Montreal, Canada.AbstractDiffuse alveolar hemorrhage (DAH) is a rare and potentially deadly complication of systemic lupus erythematosus (SLE). We report two adult cases where extracorporeal membrane oxygenation (ECMO) was used as rescue therapy for severe respiratory failure in this setting. We discuss the risk related to coagulation disturbance and the need for the circuit anticoagulation in this particular setting. We also briefly discuss the clinical problem of lack of knowledge on the bioavailability of the immunosuppressive treatment with the use of ECMO. We think that ECMO should be used as rescue therapy in patients with DAH caused by SLE, but strategies for anticoagulation require further precision.
- Journal of clinical medicine research.J Clin Med Res.2014 Apr;6(2):145-8. doi: 10.14740/jocmr1685w. Epub 2014 Feb 6.
- Diffuse alveolar hemorrhage (DAH) is a rare and potentially deadly complication of systemic lupus erythematosus (SLE). We report two adult cases where extracorporeal membrane oxygenation (ECMO) was used as rescue therapy for severe respiratory failure in this setting. We discuss the risk related to
- PMID 24578757
- [Awake ECMO therapy in airway stenosis : Bronchoscopic treatment using laser resection.]
- Duru JA1, Menges T, Bodner J, Degen ME, Greifenberg D, Gehron J, Weigand MA, Henrich M.Author information 1Klinik für Anästhesiologie, Operative Intensivmedizin und Schmerztherapie, Justus-Liebig-Universität, Universitätsklinikum Gießen und Marburg, Standort Gießen, Rudolf-Buchheim-Str. 7, 35392, Gießen, Deutschland.AbstractThis article presents the case of a 62-year-old patient with cancer in the left upper pulmonary lobe who underwent lobe resection with postoperative respiratory insufficiency. The right upper lobe had already been resected 5 years earlier because of an adenocarcinoma. Prior to the present surgery a computed tomography scan detected a narrow stenosis at the former resection site; however, both pulmonary lobes beyond this stenosis appeared to be sufficiently ventilated. After resection of the left upper lobe attempted extubation was unsuccessful due to insufficient global gas exchange as the stenosis prevented ventilation of the right lung. Bronchoscopy provided evidence of a normal diameter of the bronchus behind the stenosis so both lobes were to be recruited after possible correction of this section. A veno-venous extracorporeal membrane oxygenation device (ECMO) was established as bridging therapy to attain normal gas exchange. As the patient showed no muscle weakness and was cooperative, extubation was performed and spontaneous breathing occurred without any support while still under ECMO treatment. The stenosis was reduced by bronchoscopic laser resection within seven consecutive sessions. Each of these surgeries was conducted with the patient under general anesthesia with oral intubation and jet ventilation in combination with the ECMO. The patient was extubated after each treatment session and weaned from ECMO after the final resection within 2 days. This case demonstrates the use of ECMO in combination with surgical procedures in a spontaneously breathing patient as a causal therapy and option for selected patients to prevent complications from long-term ventilation.
- Der Anaesthesist.Anaesthesist.2014 Mar 2. [Epub ahead of print]
- This article presents the case of a 62-year-old patient with cancer in the left upper pulmonary lobe who underwent lobe resection with postoperative respiratory insufficiency. The right upper lobe had already been resected 5 years earlier because of an adenocarcinoma. Prior to the present surgery a
- PMID 24577183
- End-organ recovery is key to success for extracorporeal membrane oxygenation as a bridge to implantable left ventricular assist device.
- Durinka JB1, Bogar LJ, Hirose H, Brehm C, Koerner MM, Pae WE, El-Banayosy A, Stephenson ER, Cavarocchi NC.Author information 1From the *Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania; †Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania. Currently, Division of Cardiothoracic Surgery, Inova Health System, Falls Church, Virginia; and ‡Heart and Vascular Institute, Penn State Hershey Medical Center, Hershey, Pennsylvania.AbstractPreexisting organ dysfunctions are known factors of death after placement of implantable mechanical circulatory support (MCS). Extracorporeal membrane oxygenation (ECMO) may able to stabilize organ function in patients with cardiogenic shock before MCS implantation. Between 2008 and 2012, 17 patients with cardiogenic shock were supported with ECMO before implantable MCS placement. Patient's end-organ functions were assessed by metabolic, cardiac, hepatic, renal, and respiratory parameters. Survival data after MCS implantations were analyzed for overall survival to discharge, complications, and breakpoint in days on ECMO to survival. Before MCS implantation, lactate, hepatic, and renal functions were improved and pulmonary edema was resolved. The interval between ECMO initiation and MCS placement was 12.1 ± 7.9 days. Overall survival rate to discharge after left ventricular assist device/total artificial heart placement was 76%. The survival of patients transitioned from ECMO to MCS within 14 days was 92% and was significantly better than the survival of patients from ECMO to MCS supported longer than 14 days, 25%, p < 0.05. ECMO support can immediately stabilize organ dysfunction in patients with cardiogenic shock. After improvement of organ function, MCS implantation should be done without delay, since the patients supported for longer than 14 days with ECMO had inferior survival compared to national data.
- ASAIO journal (American Society for Artificial Internal Organs : 1992).ASAIO J.2014 Mar-Apr;60(2):189-92. doi: 10.1097/MAT.0000000000000043.
- Preexisting organ dysfunctions are known factors of death after placement of implantable mechanical circulatory support (MCS). Extracorporeal membrane oxygenation (ECMO) may able to stabilize organ function in patients with cardiogenic shock before MCS implantation. Between 2008 and 2012, 17 patient
- PMID 24399062
- 甲状腺癌による高度気管狭窄患者の気道管理 : V-V ECMOとHFJV併用の有用性
- 山口 恭子,藤本 啓子,小出 康弘 [他]
- 麻酔 62(1), 78-82, 2013-01-00
- NAID 40019551998
- 岩本 信一,神田 響,須谷 顕尚,久良木 隆繁,礒部 威
- 気管支学 : 日本気管支研究会雑誌 34(6), 604-610, 2012-11-25
- 背景.大腸癌の気管支内転移は予後が悪く, 2年以内の生命予後であるとされている.症例.症例は44歳女性. S状結腸癌術後6年目に血痰,喘鳴,呼吸困難を主訴に受診し,全身CTで気管内に多数の腫瘍を認め,気管内転移と診断された.出血リスクの軽減と腫瘍縮小効果を期待し,内視鏡治療前日に喉頭動脈塞栓術を行った.気管狭窄を伴ったハイリスク症例のため膜型人工肺を併用し,ラリンジアルマスクで気道確保して,高周波 …
- NAID 110009562569
- Wikipedia(ウィキペディア)記事検索 > [ Extracorporeal membrane oxygenation ] の検索結果
- In intensive care medicine, extracorporeal membrane oxygenation (ECMO) or extracorporeal life support (ECLS) is an extracorporeal technique of providing both cardiac and respiratory support to patients whose heart and lungs are ...
- pleuroperitoneal diaphragmatic hernia
- 胸腹膜裂孔ヘルニア、ボホダレック孔ヘルニア Bochdalek孔ヘルニア Bochdalek hernia、ボホダレクヘルニア、Bochdalekヘルニア
- 1/2000 (L.197)
- 早期手術、ECMO(extracorporeal membrane oxygenation)
- extracorporeal membrane oxygenator extracorporeal membrane oxygenation ECMO
- Extracorporeal membrane oxygenation
- extracorporeal membrane oxygenation
- extracorporeal membrane oxygenation, ECMO
- tissue layer