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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 109 - 114 (6page)
이용수
초록· 키워드
오류제보하기
Although the incidence is not high in the general surgical population, pulmonary aspiration of gastric contents can result in serious long-term morbidity and mortality. We report a case of early use of extracorporeal membrane oxygenation (ECMO) to correct severe hypoxemia refractory to conventional mechanical ventilation in a patient with massive aspiration of gastric contents immediately followed by acute lung injury during general anesthesia induction.
A 64-year-old woman diagnosed with stomach cancer was scheduled for elective diagnostic laparoscopy. Although there was no sign of gastrointestinal tract obstruction and midnight Nil per Os (NPO) was performed before the operation, pulmonary aspiration occurred during the induction of anesthesia. Despite the endotracheal intubation with mechanical ventilation, severe hypoxemia with hypercapnea persisted. Medical team agreed with applying veno-venous (VV) ECMO, and her blood gas analysis results became stable. ECMO was weaned successfully 9 days after the first aspiration event had occurred. Based on this case, early application of extracorporeal life support can have survival benefits.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Bastin AJ / 2011 / Extracorporeal membrane oxygenation for severe acute respiratory failure in adults:NICE guidance / Heart 97 : 1701 ~ 1703
Baum KF / 1976 / Aspiration pneumonitis and pulmonary phospholipids / J Trauma 16 : 782 ~ 787
Camboni D / 2011 / Support time-dependent outcome analysis for veno-venous extracorporeal membrane oxygenation / Eur J Cardiothorac Surg 40 : 1341 ~ 1346
DiBardino DM / 2014 / Aspiration pneumonia:a review of modern trends / J Crit Care 30 : 40 ~ 48
Diaz JV / 2010 / Therapeutic strategies for severe acute lung injury / Crit Care Med 38 : 1644 ~ 1650
Baum KF / 1976 / Aspiration pneumonitis and pulmonary phospholipids / J Trauma 16 : 782 ~ 787
Camboni D / 2011 / Support time-dependent outcome analysis for veno-venous extracorporeal membrane oxygenation / Eur J Cardiothorac Surg 40 : 1341 ~ 1346
DiBardino DM / 2014 / Aspiration pneumonia:a review of modern trends / J Crit Care 30 : 40 ~ 48
Diaz JV / 2010 / Therapeutic strategies for severe acute lung injury / Crit Care Med 38 : 1644 ~ 1650
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