scholarly journals Near-fatal negative pressure pulmonary oedema successfully treated with venovenous extracorporeal membrane oxygenation performed in the hybrid emergency room

2020 ◽  
Vol 13 (9) ◽  
pp. e234651 ◽  
Author(s):  
Kazuki Matsumura ◽  
Yukitoshi Toyoda ◽  
Shokei Matsumoto ◽  
Tomohiro Funabiki
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Emergency Room ◽  
Pulmonary Oedema ◽  
Negative Pressure ◽  
Ct Scanner ◽  
Resuscitation Room ◽  
Membrane Oxygenation ◽  
First Case ◽  
Negative Pressure Pulmonary Oedema ◽  
Venovenous Extracorporeal Membrane Oxygenation

We report a rare case of negative pressure pulmonary oedema (NPPE), a life-threatening complication of tracheal intubation. A 41-year-old obese man was admitted to a previous hospital for neck surgery. After extubation, he developed respiratory distress followed by haemoptysis and desaturation. The patient was reintubated and brought to our hospital where we introduced venovenous extracorporeal membrane oxygenation (ECMO) to prevent cardiac arrest, which is an unusual clinical course for NPPE. He returned to his routine without any sequelae. This is the first case report of NPPE successfully resolved with venovenous ECMO in the hybrid emergency room (hybrid ER), which is a resuscitation room equipped with interventional radiology features and a sliding CT scanner. Since the hybrid ER serves as a single move for patients where all necessary procedures are performed, it has the potential to lower the incidence of cannulation complications, beyond the delay in ECMO initiation.

Postobstructive negative pressure pulmonary oedema in a dog

2019 ◽  
Vol 7 (3) ◽  
pp. e000892
Author(s):  
Luís Filipe Louro ◽  
Joanna Raszplewicz ◽  
Hannah Hodgkiss-Geere ◽  
Eirini Pappa
Keyword(s):  
Pulmonary Oedema ◽  
Negative Pressure ◽  
Adrenergic Receptor ◽  
Inspiratory Effort ◽  
Cardiogenic Pulmonary Oedema ◽  
Oxygen Supplementation ◽  
Management Options ◽  
First Case ◽  
Negative Pressure Pulmonary Oedema ◽  
English Bulldog

A 4-month-old English bulldog was anaesthetised for investigation and management of chronic urinary incontinence. In the postanaesthetic period, the patient developed respiratory distress, with marked cough and increased inspiratory effort. Diagnostic imaging suggested pulmonary oedema. After excluding all other causes of cardiogenic and non-cardiogenic pulmonary oedema, it was hypothesised that the patient developed postanaesthetic negative pressure pulmonary oedema, suspected to have been exacerbated by tracheal intubation with an oversized endotracheal tube leading to laryngeal swelling and obstruction. The animal was treated with oxygen supplementation, corticosteroids and β-2 adrenergic receptor agonists. The patient recovered from the event and was discharged from the hospital after 48 hours. This article discusses in further details other management options of negative pressure pulmonary oedema. This is the first case report discussing the pathophysiology, critical care and management of postanaesthetic negative pressure pulmonary oedema in a dog.

scholarly journals Severe Noncardiogenic Pulmonary Edema Secondary to Massive Verapamil Overdose and Treatment with Venovenous Extracorporeal Membrane Oxygenation

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
An Ho ◽  
Abigail Go ◽  
Christopher Barrios ◽  
Anthony Scalzo
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Pulmonary Edema ◽  
Cardiovascular Complications ◽  
High Dose ◽  
Verapamil Overdose ◽  
Membrane Oxygenation ◽  
First Case ◽  
Hypoxic Respiratory Failure ◽  
Venovenous Extracorporeal Membrane Oxygenation ◽  
Vv Ecmo

Calcium channel blocker (CCB) poisoning frequently presents with cardiovascular complications such as cardiogenic shock and arrhythmia. We present a case of massive verapamil overdose causing refractory noncardiogenic pulmonary edema successfully treated with extracorporeal membrane oxygenation. To our knowledge, this is the first case with these features reported in literature. A 27-year-old female patient presented with an overdose of 18,000 mg of verapamil. Her clinical condition deteriorated to severe hypoxic respiratory failure despite being treated with calcium, high-dose insulin, and full invasive ventilation support. She eventually required venovenous extracorporeal membrane oxygenation (VV-ECMO) for three days with full recovery. Large ingestion of verapamil could lead to noncardiogenic pulmonary edema. VV-ECMO might play an important role to support the treatment in severe cases with refractory hypoxia.

scholarly journals Venovenous Extracorporeal Membrane Oxygenation for Negative Pressure Pulmonary Hemorrhage in an Elderly Patient

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Kenichiro Ishida ◽  
Mitsuhiro Noborio ◽  
Nobutaka Iwasa ◽  
Taku Sogabe ◽  
Yohei Ieki ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Negative Pressure ◽  
Pulmonary Hemorrhage ◽  
Upper Airway ◽  
Effective Treatment Option ◽  
Membrane Oxygenation ◽  
Active Hemorrhage ◽  
Venovenous Extracorporeal Membrane Oxygenation ◽  
Foreign Body Obstruction ◽  
Respiratory State

The patient in this case report was an 88-year-old male. Acute upper airway obstruction by food led to transient cardiac arrest, and negative pressure pulmonary hemorrhage (NPPH) occurred 1 hour after the foreign body obstruction. Using venovenous extracorporeal membrane oxygenation (ECMO) for severe acute respiratory distress syndrome resulting from NPPH, his respiratory state was recovered and hemoptysis stopped. NPPH is a life-threatening disease, the rapid recognition of which is required to initiate appropriate therapy. Although active hemorrhage might be a contraindication for ECMO, our experience showed this to be an effective treatment option. Moreover, our experience suggests that the application of ECMO to elderly patients should be considered on a case-by-case basis.

scholarly journals Successful extracorporeal membrane oxygenation resuscitation of patient with cardiogenic shock induced by phaeochromocytoma crisis mimicking hyperthyroidism: A case report

2021 ◽  
Vol 16 (1) ◽  
pp. 746-751
Author(s):  
Tao Wang ◽  
Qiancheng Xu ◽  
Xiaogan Jiang
Keyword(s):  
Case Report ◽  
Extracorporeal Membrane Oxygenation ◽  
Cardiogenic Shock ◽  
Tumour Size ◽  
Acute Onset ◽  
Left Ventricular ◽  
Vanillylmandelic Acid ◽  
Membrane Oxygenation ◽  
First Case ◽  
Va Ecmo

Abstract A 29-year-old woman presented to the emergency department with the acute onset of palpitations, shortness of breath, and haemoptysis. She reported having an abortion (56 days of pregnancy) 1 week before admission because of hyperthyroidism diagnosis during pregnancy. The first diagnoses considered were cardiomyopathy associated with hyperthyroidism, acute left ventricular failure, and hyperthyroidism crisis. The young woman’s cardiocirculatory system collapsed within several hours. Hence, venoarterial extracorporeal membrane oxygenation (VA ECMO) was performed for this patient. Over the next 3 days after ECMO was established, repeat transthoracic echocardiography showed gradual improvements in biventricular function, and later the patient recovered almost completely. The patient’s blood pressure increased to 230/130 mm Hg when the ECMO catheter was removed, and then the diagnosis of phaeochromocytoma was suspected. Computed tomography showed a left suprarenal tumour. The tumour size was 5.8 cm × 5.7 cm with central necrosis. The vanillylmandelic acid concentration was 63.15 mg/24 h. Post-operation, pathology confirmed phaeochromocytoma. To our knowledge, this is the first case report of a patient with cardiogenic shock induced by phaeochromocytoma crisis mimicking hyperthyroidism which was successfully resuscitated by VA ECMO.

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