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- Aidan M Hodges, Michael J Gillham, and Christopher A Lewis.
- Intensive Care Unit, The Alfred, Melbourne, Australia. MGillham@adhb.govt.nz.
- Crit Care Resusc. 2015 Sep 1;17(3):219-22.
AbstractA bronchopleural fistula (BPF) is a life-threatening complication of cardiothoracic surgery and acute illness. There is no consensus on how best to treat a BPF. Recently, endobronchial one-way valves, designed for bronchoscopic lung volume reduction in emphysema, have been used to treat BPFs. We describe the use of an endobronchial oneway valve, placed at the bedside via flexible bronchoscopy, to treat a BPF in a patient with hypoxic respiratory failure, supported by extracorporeal membrane oxygenation (ECMO), secondary to pneumonia. We believe that this is the first published description of this technique being used in a patient needing ECMO support.
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