Successful Use of Mobile Extracorporeal Lung Assist for Transport of a Patient with Post-Traumatic ARDS.
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概要
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Transport of a patient with acute respiratory distress syndrome (ARDS) is a crucial problem. A 17-year-old severe hypoxemic woman was transported successfully using mobile extracorporeal lung assist (mobile ECLA). The patient was injured in a massive landslide and admitted to a municipal hospital far about 103km away from our hospital. On admission, a right tension pneumothorax, hemothorax, 2-7 rib fractures and pulmonary contusion were diagnosed. Although intensive therapies were performed, ARDS developed and her oxygenation deteriorated on the 5th hospital day. Arterial oxygen tension (PaO2) was 35 mmHg with a fractional inspired oxygen (FIO2) of 1.0 and a positive end-expiratory pressure (PEEP) of 8cmH2O. After the initiation of veno-venous ECLA with a centrifugal pump, her PaO2 increased to 232mmHg. She was successfully transported under mobile ECLA during the 2.5 hour transport from the municipal hospital to our ICU. We believe that mobile ECLA is a useful method for inter-hospital transport of a patient with ARDS. To our knowledge, this may be the first case of long distant inter-hospital transport on mobile ECLA in Japan.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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