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ecmo drowning

Matthias Weuster, Assad Haneya, Bernd Panholzer, Tim Klüter, Michael van der Brelie, Ulrich van Laak, Jochen Cremer, Nils Haake
Cardiopulmonary failure because of drowning with accidental hypothermia (AH) remains a major task for emergency care physicians. In this case series, we describe our experience in nine patients with cardiopulmonary failure after drowning with AH less than 35°C, who were provided on an emergency basis with extracorporeal life support (ECLS) system or extracorporeal membrane oxygenation (ECMO). Conservative rewarming methods are not considered for this study. Preclinical conditions and protocols were gathered...
March 2016: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
Birgitta S Romlin, Helena Winberg, Magnus Janson, Boris Nilsson, Kerstin Björk, Anders Jeppsson, Gunilla Drake, Andreas Claesson
OBJECTIVE: To report outcome and intensive care strategy in a 7-year-old girl with accidental profound hypothermia and drowning. DATA SOURCES AND EXTRACTION: Patient records and interviews with search-and-rescue personnel. STUDY SELECTION: Case report. DATA SYNTHESIS: The girl was rescued after an estimated submersion time of at least 83 minutes in icy sea water. She presented with cardiac arrest, ice in her upper airways, a first-documented nasopharyngeal temperature of 13...
November 2015: Critical Care Medicine
Khaled Ali Baqais, Meagan Mahoney, Kathleen Tobler, Anita Hui, Mary Noseworthy
Sand aspiration is a rare but potentially fatal occurrence to consider in near-drownings, accidental burials or cave-ins. Optimal management is not well defined.
September 2015: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
Kevin E Griffith, Eric Jenkins, William Copenhaver, David M Williams
Extracorporeal membrane oxygenation (ECMO) was introduced to clinical medicine over 40 years ago. While initially used as a treatment for acute respiratory failure in infants, the use of ECMO has grown to include respiratory and circulatory failure in both children and adults, cardiogenic shock, pulmonary embolism, sepsis, trauma, malignancy, pulmonary hemorrhage and as a treatment for hypothermic drowning.(1) Recent technological improvements in ECMO circuitry make it possible to minimize anticoagulation of the ECMO patient, decreasing the incidence of bleeding...
March 2016: Perfusion
Kun Il Kim, Won Yong Lee, Hyoung Soo Kim, Jae Han Jeong, Ho Hyun Ko
BACKGROUND: The aim of this study was to determine the early outcomes of using extracorporeal membrane oxygenation (ECMO) in near-drowning patients with cardiac or pulmonary failure. METHODS: This study was based on data from 9 patients including 2 children (mean age 33; 8 males, 1 female) who received ECMO after near-drowning between 2008 and 2013. Veno-arterial or veno-arteriovenous ECMO was used in 2 patients with sustained cardiac arrest and veno-venous ECMO was used in 7 patients with severe acute respiratory distress syndrome (ARDS)...
2014: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Jin Young Go, Yu-Sun Min, Tae-Du Jung
Acute limb compartment syndrome (ALCS) is defined as compound symptoms resulting from poor oxygenation and decreased nutrition supply to muscles and nerves in a tightly confined compartment. The most common cause of ALCS is tibia fracture, followed by blunt trauma to soft tissue. However, non-traumatic causes are rare. We report an iatrogenic, non-traumatic ALCS case after venoarterial extracorporeal membrane oxygen (VA-ECMO) therapy. A 14-year-old male received VA-ECMO therapy due to cardiorespiratory failure after drowning...
August 2014: Annals of Rehabilitation Medicine
M Kippnich, D Keller, J Jokinen, C Kilgenstein, R M Muellenbach, C Markus, N Roewer, P Kranke
BACKGROUND: In the context of the European Resuscitation Council (ERC) guidelines, modifications of the proposed treatment algorithm need to be performed in order to respond to different parameters. In this respect several factors interacting with cardiac arrest are essential and need to be included in the therapy. This case report demonstrates an example of resuscitation in the situation of hypothermia. CASE REPORT: After a near drowning accident and approximately 30 min underwater, a patient suffering from severe hypothermia initially required resuscitation after the rescue...
November 2014: Der Anaesthesist
Tomohiro Sonoo, Kazuma Ohshima, Hiroaki Kobayashi, Toshifumi Asada, Takahiro Hiruma, Kento Doi, Masataka Gunshin, Tomohiro Murakawa, Masaki Anraku, Susumu Nakajima, Jun Nakajima, Naoki Yahagi
This report highlights about one acute respiratory distress syndrome (ARDS) case after near-drowning resuscitated using extracorporeal membrane oxygenation (ECMO). Few cases have been reported about ECMO use for near-drowning and in most of these cases, ECMO was initiated within the first week. However, in our report, we would like to emphasize that seemingly irreversible secondary worsening of ARDS after nearly drowned patient was successfully treated by ECMO use more than 1 week after near-drowning followed by discharge without home oxygen therapy, social support, or any complication...
September 2014: Journal of Artificial Organs: the Official Journal of the Japanese Society for Artificial Organs
Mitsutoshi Kimura, Osamu Kinoshita, Yoshifumi Fujimoto, Arata Murakami, Takahiro Shindo, Koichi Kashiwa, Minoru Ono
Extracorporeal membrane oxygenation (ECMO) is an effective respiratory and circulatory support in patients in refractory cardiogenic shock or cardiac arrest. Peripheral ECMO sometimes requires left heart drainage; however, few reports state that pulmonary arterial (PA) venting is required during ECMO support. We present a case of a 14-year-old boy who required PA venting during ECMO support after resuscitation from near-drowning in freshwater. A biventricular assist device with an oxygenator implantation was intended on day 1; however, we were unable to proceed because of increasing of pulmonary vascular resistance from the acute lung injury...
February 2014: American Journal of Emergency Medicine
D I Isnardi, F Olivero, R Lerda, A Guermani, G Cornara
Hemodynamic instability is a frequent complication in potential organ donors. Despite maximal medical therapy, it can lead to cardiac arrest with consequent loss of organs. In this study we present the use of extracorporeal membrane oxygenation circulation (ECMO) as a bridge to organ procurement in a potential donor with hemodynamic instability. A 14-year-old girl who drowned in a pool experienced cardiorespiratory arrest with prolonged resuscitation. In the intensive care unit (ICU), she displayed hemodynamic instability requiring high doses of inotropis agents...
September 2013: Transplantation Proceedings
Kathryn B Metcalf, Andrew J Michaels, Richard F Edlich, William B Long
BACKGROUND: Sand aspiration occurs in situations of cave-in burial and near-drowning. Sand in the tracheobronchial airways adheres to the mucosa and can cause tracheal and bronchial obstruction, which can be life-threatening even with intensive management. In previous case reports of airway obstruction caused by sand aspiration, fiber optic or rigid bronchoscopy has been effective in removing loose sand, but removal of sand particles lodged in smaller airways has proven challenging and time-consuming...
September 2013: Journal of Emergency Medicine
Naveed Hasan, Sidharth Bagga, Julie Monteagudo, Hitoshi Hirose, Nicholas C Cavarocchi, Boyd T Hehn, Mani S Kavuru
Pulmonary alveolar proteinosis is a rare lung disease characterized by accumulation of lipoproteinaceous material within the alveoli. Therapeutic whole-lung lavage (WLL) under general anesthesia is the standard treatment in patients with progressive symptomatic disease. Severe hypoxemic respiratory failure is uncommon, yet when present poses a technical challenge to performing WLL without further compromising respiratory status. Rarely, hyperbaric chamber or extracorporeal membrane oxygenation (ECMO) has been utilized to perform WLL to manage severe hypoxemia, with venovenous ECMO being used more often...
January 2013: Journal of Bronchology & Interventional Pulmonology
David Skarda, Douglass Barnhart, Eric Scaife, Mark Molitor, Rebecka Meyers, Michael Rollins
PURPOSE: We have previously reported the use of EC-CPR for the treatment of hypothermic cardiac arrest with an overall survival of 50%. As we have continued this protocol for an additional 5 years, we sought to update this information. METHODS: We reviewed all of the activations for hypothermic cardiac arrest from 2005 to 2011. Results are presented as means with minimum and maximum values. The 95% confidence interval for the point estimate of survival was calculated using a binomial distribution...
December 2012: Journal of Pediatric Surgery
Michael Wanscher, Lisbeth Agersnap, Jesper Ravn, Stig Yndgaard, Jørgen Feldbæk Nielsen, Else R Danielsen, Christian Hassager, Bertil Romner, Carsten Thomsen, Steen Barnung, Anne Grethe Lorentzen, Hans Høgenhaven, Matthew Davis, Jacob Eifer Møller
BACKGROUND: Resuscitation guidelines for the treatment of accidental hypothermia are based primarily on isolated cases. Mortality rates are high despite aggressive treatment aimed at restoring spontaneous circulation and normothermia. METHODS: The present report is based on a boating accident where 15 healthy subjects (median age 16 (range 15-45) years) were immersed in 2 °C salt water. Seven victims were recovered in circulatory arrest with a median temperature of 18...
September 2012: Resuscitation
Timur Sellmann, Diyar Saeed, Oliver Danzeisen, Alexander Albert, Alexander Blehm, Rainer Kram, Detlef Kindgen-Milles, Thomas Hoehn, Michael Winterhalter
No abstract text is available yet for this article.
October 2012: Journal of Cardiothoracic and Vascular Anesthesia
Giles J Peek
No abstract text is available yet for this article.
September 2011: Resuscitation
Fenella Kirkham
Primary out-of-hospital cardiac arrest in childhood is rare but survival is a little better for children than for adults, although the prognosis for infants is very poor. Hypoxic-ischaemic encephalopathy after in-hospital cardiac arrest in children undergoing complicated treatment for previously untreatable conditions is now a common problem and is probably increasing. An additional ischaemic insult worsens the prognosis for other encephalopathies, such as that occurring after accidental or non-accidental head injury...
September 2011: European Journal of Paediatric Neurology: EJPN
M Arlt, A Philipp, S Voelkel, B M Graf, C Schmid, M Hilker
We report the use of out-of-hospital extracorporeal life support (ECLS) in cardiac arrest. We treated a 9-year-old girl with cardiac arrest after warm-water drowning with percutaneous venoarterial extracorporeal membrane oxygenation (ECMO) using a new portable Mini-ECMO system. A beating-heart circulation was reestablished on ECMO, but, unfortunately, our patient did not survive. This case shows that Mini-ECMO support can be used to restore an effective circulation and gas exchange in the out-of-hospital setting...
September 2011: Resuscitation
Kasim Oguz Coskun, Aron Frederik Popov, Jan Dieter Schmitto, José Hinz, Thomas Kriebel, Friedrich Albert Schoendube, Wolfgang Ruschewski, Theodor Tirilomis
Drowning and near-drowning is often associated with severe hypothermia requiring active core rewarming.We performed rewarming by cardiopulmonary bypass(CPB). Between 1987 and 2007, 13 children (9 boys and 4 girls) with accidental hypothermia were rewarmed by extracorporeal circulation (ECC) in our institution. The average age of the patients was 3.2 years. Resuscitation was started immediately upon the arrival of the rescue team and was continuously performed during the transportation.All patients were intubated and ventilated...
November 2010: Artificial Organs
Chih-Hsien Wang, Chun-Chih Chou, Wen-Je Ko, Yung-Chie Lee
Drowning is one of the most common causes of accidental events. Here we report a drowning patient who experienced acute respiratory distress syndrome after hospitalization. Although the compliance of lung was as poor less as 5 mL/cm H2O, this patient was eventually rescued and recovered by extraprolonged extracorporeal membrane oxygenation support for 117 days.
July 2010: American Journal of Emergency Medicine
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