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

Kazuki Matsumura, Yukitoshi Toyoda, Shokei Matsumoto, Tomohiro Funabiki

研究成果: ジャーナルへの寄稿学術論文査読

4 被引用数 (Scopus)

抄録

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.

本文言語英語
論文番号e234651
ジャーナルBMJ Case Reports
13
9
DOI
出版ステータス出版済み - 09-09-2020
外部発表はい

All Science Journal Classification (ASJC) codes

  • 医学一般

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