tailieunhanh - Báo cáo y học: "Extra corporal membrane oxygenation in general thoracic surgery: a new single veno-venous cannulatio"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Extra corporal membrane oxygenation in general thoracic surgery: a new single veno-venous cannulation. | Souilamas et al. Journal of Cardiothoracic Surgery 2011 6 52 http content 6 1 52 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Extra corporal membrane oxygenation in general thoracic surgery a new single veno-venous cannulation 1 2 1 3 3 Redha Souilamas Jihane I Souilamas Khalid Alkhamees Jean-Pierre Hubsch Jean-Claude Boucherie Reem Kanaan4 Yves Ollivier5 and Mauricio Sauesserig1 Abstract Extracorporeal membrane oxygenation ECMO is used in severe respiratory failure to maintain adequate gas exchange. So far this technique has not been commonly used in general thoracic surgery. We present a case using ECMO for peri-operative airway management for pulmonary resection using a novel single-site internal jugular veno-venous ECMO cannula. Clinical summary The patient was a 45-year-old woman with aspergilloma in the left upper lung figure 1 and recurrent haemoptysis. Several arteriographies with embolizations had been completed with no long-lasting success. Segmentectomy was then discussed. Her forced expiratory volume in 1 second FEV1 predicted was 42 and her left pulmonary perfusion was 75 . These results made surgery unlikely and risky for 2 reasons the absence of left lung ventilation required during surgery and the potential risk of postoperative respiratory insufficiency. Lung transplantation was discussed but the patient was not listed because she did not have respiratory endstage disease. A multidisciplinary decision was made to proceed with pulmonary resection under peri-operative VV-ECMO support with the Avalon cannula. This strategy made it possible to cease lung ventilation during surgery and created an option to bridge the patient to transplantation in case of postoperative respiratory failure. Pre-lung transplant evaluation was carried out before surgery. The peri-operative management of such airway compromise is difficult but critical. A 23F Avalon cannula Figure 2 Avalon Laboratories LLC Rancho Dominguez .