Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/12322
Full metadata record
DC FieldValueLanguage
dc.contributor.authorChan-Dominy, A C Fen
dc.contributor.authorAnders, Men
dc.contributor.authorMillar, Jeremy Len
dc.contributor.authorHorton, Sen
dc.contributor.authorBest, Den
dc.contributor.authorBrizard, Cen
dc.contributor.authorD'Udekem, Yen
dc.contributor.authorHilton, Aen
dc.contributor.authorButt, Wen
dc.date.accessioned2015-05-16T01:59:30Z
dc.date.available2015-05-16T01:59:30Z
dc.date.issued2014-07-28en
dc.identifier.citationPerfusion 2014; 30(4): 291-4en
dc.identifier.govdoc25070898en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/12322en
dc.description.abstractWe report the case of a patient with cardiovascular and respiratory failure due to severe anaphylaxis requiring multiple extracorporeal membrane oxygenation (ECMO) cannulation strategies to provide adequate oxygen delivery and ventilatory support during a period of rapid physiological change. ECMO provides partial or complete support of oxygenation-ventilation and circulation. The choice of which ECMO modality to use is governed by anatomical (vessel size, cardiovascular anatomy and previous surgeries) and physiological (respiratory and/or cardiac failure) factors. The urgency with which ECMO needs to be implemented (emergency cardiopulmonary resuscitation (eCPR), urgent, elective) and the institutional experience will also influence the type of ECMO provided. Here we describe a 12-year-old schoolgirl who, having been resuscitated with peripheral veno-venous (VV) ECMO for severe hypoxemia due to status asthmaticus in the setting of acute anaphylaxis, required escalation to peripheral veno-arterial (VA) ECMO for precipitous cardiovascular deterioration. Insufficient oxygen delivery for adequate cellular metabolic function and possible cerebral hypoxia due to significant differential hypoxia necessitated ECMO modification. After six days of central (transthoracic) VA ECMO support and 21 days of intensive care unit (ICU) care, she made a complete recovery with no neurological sequelae. The use of ECMO support warrants careful consideration of the interplay of a patient's pathophysiology and extracorporeal circuit dynamics. Particular emphasis should be placed on the potential for mismatch between cardiovascular and respiratory support as well as the need to meet metabolic demands through adequate cerebral, coronary and systemic oxygenation. Cannulation strategies occasionally require alteration to meet and anticipate the patient's evolving needs.en
dc.language.isoenen
dc.subject.otherECMOen
dc.subject.otheranaphylaxisen
dc.subject.otherextracorporeal membrane oxygenationen
dc.subject.otherresuscitationen
dc.subject.othershocken
dc.subject.otherstatus asthmaticusen
dc.titleExtracorporeal membrane modality conversions.en
dc.typeJournal Articleen
dc.identifier.journaltitlePerfusionen
dc.identifier.affiliationDepartment of Cardiac Surgery, Royal Children's Hospital, Melbourne, VIC 3052, Australiaen
dc.identifier.affiliationIntensive Care Unit, Royal Children's Hospital, Melbourne, VIC 3052, Australiaen
dc.identifier.affiliationDepartment of Intensive Care, Austin Hospital, Melbourne, VIC 3084, Australiaen
dc.identifier.affiliationIntensive Care Unit, Royal Children's Hospital, Melbourne, VIC 3052, Australiaen
dc.identifier.doi10.1177/0267659114544486en
dc.description.pages291-4en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/25070898en
dc.type.austinJournal Articleen
local.name.researcherHilton, Andrew K
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptIntensive Care-
Appears in Collections:Journal articles
Show simple item record

Page view(s)

20
checked on Mar 28, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.