Case of successful Extracorporeal Life Support (ECLS) in a patient with refractory asthma – Importance of increasing awareness of the role of ECLS in the UK

10.5580/10aa ◽  
2009 ◽  
Vol 6 (2) ◽  
Keyword(s):  
Life Support ◽  
Extracorporeal Life Support ◽  
The Uk ◽  
Refractory Asthma

scholarly journals Thrombotic thrombocytopenic purpura presenting as a severe peripartum cardiogenic shock: Role of myocardial biopsy and assist device for diagnosis and resuscitation

2017 ◽  
Vol 9 (7) ◽  
pp. NP8-NP9 ◽  
Author(s):  
Sébastien Champion ◽  
Dominique Belcour ◽  
Bernard Alex Gaüzère
Keyword(s):  
Cardiogenic Shock ◽  
Thrombotic Thrombocytopenic Purpura ◽  
Cardiac Involvement ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Complete Recovery ◽  
Myocardial Biopsy ◽  
Assist Device ◽  
Thrombocytopenic Purpura

We describe the case of a peripartum thrombotic thrombocytopenic purpura with fulminant cardiogenic shock treated with extracorporeal life support. Thrombotic thrombocytopenic purpura should be considered in the case of thrombotic microangiopathy with several or severe organ involvement and needs emergent treatment with plasmapheresis (with or without rituximab). In the case of cardiac involvement, aggressive treatment should be considered given the high mortality and the potential complete recovery.

scholarly journals Reply to: The role of extracorporeal life support in patients with hypothermic cardiac arrest

Resuscitation ◽  
2019 ◽  
Vol 134 ◽  
pp. 159-160
Author(s):  
Michael M. Beyea ◽  
Bourke W. Tillmann ◽  
A. Dave Nagpal
Keyword(s):  
Cardiac Arrest ◽  
Life Support ◽  
Extracorporeal Life Support

scholarly journals Treatment of Polypharmacy Overdose with Multimodality Extracorporeal Life Support

2005 ◽  
Vol 33 (1) ◽  
pp. 120-123 ◽  
Author(s):  
G. Maclaren ◽  
W. Butt ◽  
P. Cameron ◽  
A. Preovolos ◽  
R. Mcegan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Life Support ◽  
Slow Release ◽  
Extracorporeal Life Support ◽  
Tertiary Referral ◽  
Severe Metabolic Acidosis ◽  
Verapamil Overdose ◽  
Tertiary Referral Hospital ◽  
Venoarterial Extracorporeal Membrane Oxygenation

A 45-year-old woman presented to the emergency department of a tertiary referral hospital after taking an overdose of verapamil, doxepin, quetiapine, diazepam, temazepam, and clonazepam. She rapidly developed shock refractory to pharmacological support and was placed on percutaneous venoarterial extracorporeal membrane oxygenation (ECMO). She had a severe metabolic acidosis from a combination of shock and drug intoxication that improved with continuous venovenous haemodialysis. Forty-eight hours after presentation, while still on ECMO, the patient had complete cardiac standstill for three and a half hours, attributable to slow-release verapamil, that resolved after the commencement of plasmapheresis. The role of plasmapheresis in verapamil overdose requires further study.

scholarly journals Role of extracorporeal life support after pulmonary endarterectomy: a single-centre experience

2016 ◽  
Vol 23 (1) ◽  
pp. 74-78 ◽  
Author(s):  
Laura Donahoe ◽  
John Granton ◽  
Karen McRae ◽  
John Thenganatt ◽  
Jacov Moric ◽  
...  
Keyword(s):  
Life Support ◽  
Extracorporeal Life Support ◽  
Pulmonary Endarterectomy ◽  
Single Centre ◽  
Single Centre Experience

ROLE OF THE RN FIRST ASSISTANT IN THE EXTRACORPOREAL LIFE SUPPORT PROGRAM

ASAIO Journal ◽  
1997 ◽  
Vol 43 (2) ◽  
pp. 34
Author(s):  
C C Hlozek ◽  
N G Smedira ◽  
P M McCarthy
Keyword(s):  
Life Support ◽  
Extracorporeal Life Support ◽  
Support Program

Twenty minutes of normothermic cardiac arrest in a pig model: the role of short-term hypothermia for neurological outcome

Perfusion ◽  
2017 ◽  
Vol 33 (4) ◽  
pp. 270-277 ◽  
Author(s):  
Katharina Foerster ◽  
Christoph Benk ◽  
Friedhelm Beyersdorf ◽  
Heidi Cristina Schmitz ◽  
Karin Wittmann ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Neuron Specific Enolase ◽  
Neurological Recovery ◽  
Neurological Deficits ◽  
Short Term ◽  
Normothermic Group ◽  
Hypothermic Group

Introduction: Cardiopulmonary resuscitation restores circulation, but with inconsistent blood-flow and pressures. Our recent approach using an extracorporeal life support system, named “controlled integrated resuscitation device” (CIRD), may lead to improved survival and neurological recovery after cardiac arrest (CA). The basic idea is to provide a reperfusion tailored to the individual patient by control of the conditions of reperfusion and the composition of the reperfusate. Hypothermia is one aspect of this concept. Here, we investigated the role of immediate short-term blood cooling after experimental CA and its influence on survival and neurological recovery. Methods: Twenty-one pigs were exposed to 20 minutes of normothermic CA. Afterwards, CIRD was immediately started for 60 minutes in all animals and the heart was converted to a sinus rhythm. The pigs either received normothermic reperfusion (37°C, n=11) or the temperature was maintained at 32°C for the first 30 minutes (n=10). Thermometric, hemodynamic and serologic data were collected during the experiment. After weaning from CIRD, neurological recovery was assessed daily by a species-specific neurological deficit score (NDS; 0: normal; 500: brain death). Results: One pig in each group could not be successfully resuscitated. Due to severe neurological deficits, only 6/11 animals in the normothermic group finished the observation time of seven days with an NDS of 37±34. In the hypothermic group, all nine surviving animals reached day seven with an NDS of 16±13. Analogous to the lower NDS, animals in the hypothermic group also showed lower neuron-specific enolase end values as a marker of brain injury. Conclusions: Within this experimental setting, immediate moderate and short-term hypothermia after CA improves survival and seems to result in statistically non-significant better neurological recovery.

scholarly journals Extracorporeal Life Support for Massive Hemoptysis and Acute Lung Injury Due to ANCA Negative Vasculitis

2021 ◽  
Vol 7 (1) ◽  
Keyword(s):  
Acute Lung Injury ◽  
Lung Injury ◽  
Extracorporeal Membrane Oxygenation ◽  
Respiratory Distress ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Rescue Therapy ◽  
Massive Hemoptysis ◽  
Life Threatening

Massive hemoptysis is life-threatening and extracorporeal membrane oxygenation (ECMO) may be indicated as rescue therapy due to acute lung injury in this setting. We report a case of a patient who presented with massive hemoptysis and acute lung injury after reported inhaled ground oxymorphone abuse. Although initially thought to have been due to inhaled oxymorphone, we determined that the patient had ANCA-negative vasculitis that led to both hemoptysis and hematuria. The role of inhaled oxymorphone in combination with the vasculitis is unknown. ECMO was initiated to support the patient and, although his course was complicated, he did recover. Keywords: ECMO; Vasculitis; Acute Respiratory Distress (ARDS).

A case of vaping-induced acute respiratory distress syndrome requiring extracorporeal life support

Perfusion ◽  
2020 ◽  
pp. 026765912092563
Author(s):  
Sudhir Krishnan ◽  
Guramrinder Singh Thind ◽  
Mona Soliman ◽  
Leslie Tolle ◽  
Eduardo Mireles-Cabodevila ◽  
...  
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Lung Injury ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Distress Syndrome ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
The United States ◽  
Product Use

Introduction: An upsurge of e-cigarette, or vaping, product use–associated lung injury has been reported in the United States. The potential role of extracorporeal life support in e-cigarette, or vaping, product use–associated lung injury merits consideration. Case report: We present a case of vaping-induced severe acute respiratory distress syndrome that was salvaged with extracorporeal life support and had excellent recovery. Discussion: The mechanistic reasons for the sudden outbreak of e-cigarette, or vaping, product use–associated lung injury are under active investigation. A predominantly diffuse, bilateral pattern of lung injury has been reported, with some cases meeting the criteria for severe acute respiratory distress syndrome. To date, 68 deaths from e-cigarette, or vaping, product use–associated lung injury have been confirmed by the centers of disease control. However, resolution of lung injury has been reported in most cases, thereby justifying candidacy for extracorporeal life support, if required. Conclusion: Extracorporeal life support can be successfully utilized as a bridge to recovery in vaping-induced severe acute respiratory distress syndrome.

Sign in / Sign up

Export Citation Format

Share Document