Indian Journal of ECMO

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VOLUME 2 , ISSUE 1 ( January-March, 2024 ) > List of Articles

CASE REPORT

Veno-venous ECMO with Bicaval Cannula for Refractory Hypoxemia in a Child

Sri Kuchibhotla, Anil Sachdev, Siddartha Rudrappa, Raja Joshi

Keywords : Acute respiratory distress syndrome, Case report, Eno-venous extracorporeal membranous oxygenation, Pediatric ECMO

Citation Information : Kuchibhotla S, Sachdev A, Rudrappa S, Joshi R. Veno-venous ECMO with Bicaval Cannula for Refractory Hypoxemia in a Child. Indian J ECMO 2024; 2 (1):9-12.

DOI: 10.5005/jaypee-journals-11011-0027

License: CC BY-NC 4.0

Published Online: 19-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Acute respiratory distress syndrome (ARDS) due to viral or bacterial lower respiratory tract infections is a common indication for mechanical ventilatory support in children. Common viruses involved include Influenza A or B, Parainfluenza, Adenovirus, Coronavirus, and Measles. While the standard respiratory support for pediatric ARDS (pARDS) includes conventional ventilatory support along with non-ventilatory measures, a minority of patients develop refractory hypoxemia and warrant higher forms of ventilation like high-frequency oscillatory ventilation (HFOV) and occasionally extracorporeal membranous oxygenation (ECMO). Extracorporeal life support organization (ELSO) guidelines have recommended the use of ECMO in reversible refractory hypoxemia. Here, we describe a toddler with severe ARDS and air leak, who was managed with veno-venous ECMO (VV ECMO) and bronchoscopy toilets.


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