Eyyüp Sabri ÖZDEN, Asiye CEYLAN, Mehmet Kerem ORAL

Extracorporeal Membrane Oxygenation Experience in the Patient with Acute Respiratory Distress Syndrome After Candida pneumonia

Acute Respiratory Distress syndrome (ARDS) is an acute, diffuse, inflammatory lung injury that leads to increased pulmonary vascular permeability, increased lung weight and loss of ventilated tissue. Since the definition of ARDS, more than 40% of the mortalities is caused by it despite the significant developments in the management of severe ARDS. The patients who used extracorporeal membrane oxygenation (ECMO) for severe ARDS treatment had lower morbidity and mortality rates. In this case report, a patient with coronary artery disease in whom severe ARDS and septicemia were developed after Candida pneumonia and was treated with ECMO was presented

Candida Pnömonisi Sonrası Akut Solunum Sıkıntısı Sendromu Hastasında Ekstrakorporyal Membran Oksijenasyonu Deneyimi

Akut Solunum Sıkıntısı sendromu (ARDS) pulmoner vasküler geçirgenlikte artış, akciğer ağırlığının artması ve havalanan doku kaybına yol açan akut, yaygın, enflamatuvar bir akciğer hasarıdır. Ağır ARDS, ilk tanımlanmasından bu yana yönetimindeki önemli gelişmelere rağmen, %40’tan fazla mortaliteye neden olmaya devam etmektedir. Ağır ARDS tedavisinde ekstrakorporeal membran oksijenasyonu (ECMO) yapılan hastalar daha düşük morbidite ve mortalite oranlarına sahiptir. Bu olguda koroner arter hastalığı olan Candida pnömonisi sonrası ARDS ve septisemi gelişen hastada ECMO tedavisi uygulanmıştır.

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1. Paolone S. Extracorporeal Membrane Oxygenation (ECMO) for Lung Injury in Severe Acute Respiratory Distress Syndrome (ARDS): Review of the Literature. Clin Nurs Res 2016; 26: 747-62.

2. Leligdowicz A, Fan E. Extracorporeal life support for severe acute respiratory distress syndrome. Curr Opin Crit Care 2015; 21: 13- 9.

3. Paden ML, Conrad SA, Rycus PT, Thiagarajan RR. Extracorporeal Life Support Organization Registry Report 2012. ASAIO J 2013; 59: 202-10.

4. Ashbaugh DG, Bigelow DB, Petty TL, Levine BE. Acute respiratory distress in adults. Lancet 1967; 2: 319-23.

5. Gille JP, Bagniewski AM. Ten years of use of extracorporeal membrane oxygenation (ECMO) in the treatment of acute respiratory insufficiency (ARI). Trans Am Soc Artif Intern Organs 1976; 22: 102-8.

6. Brogan TV, Thiagarajan RR, Rycus PT, Bartlett RH, Bratton SL. Extracorporeal membrane oxygenation in adults with severe respiratory failure: a multi-center database. Intensive Care Med 2009; 35: 2105-14.

7. Knoch M, Köllen B, Dietrich G, Müller E, Mottaghy K, Lennartz H. Progress in veno-venous longterm bypass techniques for the treatment of ARDS. Controlled clinical trial with the heparincoated bypass circuit. Int J Artif Organs 1992; 15: 103-8.

8. Sidebotham D, Allen SJ, McGeorge A, Ibbott N, Willcox T. Venovenous extracorporeal membrane oxygenation in adults: practical aspects of circuits, cannulae, and procedures. J Cardiothorac Vasc Anesth 2012; 26: 893-909.

9. Park PK, Napolitano LM, Bartlett RH. Extracorporeal membrane oxygenation in adult acute respiratory distress syndrome. Crit Care Clin 2011; 27: 627-46.

10. Australia and New Zealand Extracorporeal Membrane Oxygenation (ANZ ECMO) Influenza Investigators, Davies A, Jones D, et al. Extracorporeal membrane oxygenation for 2009 influenza A (H1N1) acute respiratory distress syndrome. JAMA 2009; 302: 1888-95.

11. Kasirajan V, Smedira NG, McCarthy JF, Casselman F, Boparai N, McCarthy PM. Risk factors for intracranial hemorrhage in adults on extracorporeal membrane oxygenation. Eur J Cardiothorac Surg 1999; 15: 508-14.

12. Fjalldall O, Torfason B, Onundarson PT, Thorsteinsson A, Vigfusson G, Stefansson T, et al. Prolonged total extracorporeal lung assistance without systemic heparinization. Acta Anaesthesiol Scand 1993; 37: 115-20.

13. Kao LS, Fleming GM, Escamilla RJ, Lew DF, Lally KP. Antimicrobial prophylaxis and infection surveillance in extracorporeal membrane oxygenation patients: a multi-institutional survey of practice patterns. ASAIO J 2011; 57: 231-8.

14. Aokage T, Palmér K, Ichiba S, Takeda S. Extracorporeal membrane oxygenation for acute respiratory distress syndrome. J Intensive Care 2015; 3: 17-24.

15. Osman D, Monnet X, Castelain V, Anguel N, Warszawski J, Teboul JL, et al. Incidence and prognostic value of right ventricular failure in acute respiratory distress syndrome. Intensive Care Med 2009; 35: 69-76.

16. D’Alonzo GE, Barst RJ, Ayres SM, Bergofsky EH, Brundage BH, Detre KM, et al. Survival in patients with primary pulmonary hypertension: results from a national prospective registry. Ann Intern Med 1991; 115: 343-9.

17. Lee SH, Jung JS, Chung JH, Lee KH, Kim HJ, Son HS, et al. Right Heart Failure during Veno-Venous Extracorporeal Membrane Oxygenation for H1N1 Induced Acute Respiratory Distress Syndrome: Case Report and Literature Review. Korean J Thorac Cardiovasc Surg 2015; 48: 289-93.