Victorious VV-Extracorporeal Membrane Oxygenation in Post-cardiac Arrest Pediatric Patient with Bilateral Pneumothorax with Severe ARDS

Raghavendra Vagyannavar; Bhanu P Singh; Kapil Rastogi; Rajeev Gupta

doi:10.5005/jaypee-journals-11011-0025

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Victorious VV-Extracorporeal Membrane Oxygenation in Post-cardiac Arrest Pediatric Patient with Bilateral Pneumothorax with Severe ARDS

Raghavendra Vagyannavar, Bhanu P Singh, Kapil Rastogi, Rajeev Gupta

Keywords : Acute respiratory distress syndrome, Case report, Venovenous extracorporeal membrane oxygenation

Citation Information : Vagyannavar R, Singh BP, Rastogi K, Gupta R. Victorious VV-Extracorporeal Membrane Oxygenation in Post-cardiac Arrest Pediatric Patient with Bilateral Pneumothorax with Severe ARDS. Indian J ECMO 2024; 2 (1):1-2.

DOI: 10.5005/jaypee-journals-11011-0025

License: CC BY-NC 4.0

Published Online: 19-06-2024

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Abstract

Background: Refractory hypoxia and hypercapnia are a rare and severe dangerous complication of acute respiratory distress syndrome (ARDS) leading to mortality and morbidity. Venovenous extracorporeal membrane oxygenation (VV ECMO) is reported as one of the rescue treatments for this life-threatening hypoxia and hypercapnia. Case presentation: A 12-year-old boy with refractory ARDS managed with mechanical ventilation but complicated by bilateral pneumothorax and cardiac arrest. Venovenous extracorporeal membrane oxygenation was initiated because of severe hypoxia and hypercapnia due to his worst lung condition shifted to a lung transplant center on ECMO. The patient was weaned successfully on day 60th and discharged on the 90th day of admission without the need for lung transplantation. Conclusion: Venovenous extracorporeal membrane oxygenation can be considered for supportive therapy in refractory severe acute respiratory failure after failing all conventional measures. To get the best results, ECMO should be initiated as early as possible in refractory ARDS patients.

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Rosario DC, Ambati S. Extracorporeal Membrane Oxygenation in Children. In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2023. PMID: 34283470.
Chu X, Chen W, Wang Y, et al. ECMO for pediatric cardiac arrest caused by bronchial rupture and severe lung injury: A case report about life-threatening rescue at an adult ECMO centre. J Cardiothorac Surg 2022;17(1):142. DOI: 10.1186/s13019-022-01856-0.
Skarda D, Henricksen JW, Rollins M. Extracorporeal membrane oxygenation promotes survival in children with trauma related respiratory failure. Pediatr Surg Int 2012;28(7):711–714. DOI: 10.1007/s00383-012-3102-x.
Meyer-Macaulay C, Rosen D. Paediatric extracorporeal membrane oxygenation and extracorporeal cardiopulmonary resuscitation. BJA Educ 2018;18(5):153–157. DOI: 10.1016/j.bjae.2017.12.003.
De Charrière A, Assouline B, Scheen M, et al. ECMO in cardiac arrest: A narrative review of the literature. J Clin Med 2021;10(3):534. DOI: 10.3390/jcm10030534.
Zens T, Ochoa B, Eldredge RS, et al. Pediatric venoarterial and venovenous ECMO. Semin Pediatr Surg 2023;32(4):151327. DOI: 10.1016/j.sempedsurg.2023.151327.
Chilcote D, Sriram A, Slovis J, et al. Venovenous extracorporeal membrane oxygenation initiation for pediatric acute respiratory distress syndrome with cardiovascular instability is associated with an immediate and sustained decrease in vasoactive-inotropic scores. Pediatr Crit Care Med 2024;25(1):e41–e46. DOI: 10.1097/PCC.0000000000003325.

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