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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Respir+Med+Case+Rep
2018 ; 24
(ä): 86-88
Nephropedia Template TP
gab.com Text
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Idiopathic pulmonary fibrosis patient supported with extracorporeal membrane
oxygenation for 403 days while waiting for a lung transplant: A case report
#MMPMID29977768
Umei N
; Ichiba S
; Sakamoto A
Respir Med Case Rep
2018[]; 24
(ä): 86-88
PMID29977768
show ga
According to the Extracorporeal Life Support Organization, the average duration
of veno-venous extracorporeal membrane oxygenation (V-V ECMO) in adults with
acute respiratory failure is 10.5-13.5 days. Some patients on V-V ECMO may not
recover in such a short period of time, and recently, there have been more
reports of prolonged V-V ECMO. However, we do not know how long it is feasible to
wait for native lung recovery or lung transplant (LTx) with the use of ECMO. We
describe a patient with acute exacerbation of idiopathic pulmonary fibrosis
supported by ECMO for 403 days while waiting for a LTx. In this case, we kept the
patient awake, and he was communicating frequently with his family. We changed
the membrane oxygenator 23 times and the cannula 10 times without complication.
However, we terminated the treatment on day 403 of ECMO because there was no
access site for cannula insertion due to blockage by a venous thrombotic
occlusion, making it impossible to continue this bridge to lung transplantation.
It has become possible to maintain patients on ECMO for extended periods of time,
but it is difficult to manage ECMO for more than one year without the development
of a more durable lung support system.