• Medicina · Jan 2019

    Case Reports

    [Oxygenation with extracorporeal membrane in obstructive shock secondary to lymphoproliferative disease].

    • Marcos J Las Heras, Indalecio Carboni Bisso, Ignacio Fernández Ceballos, Ana Montserrat Rivero, José Dianti, and Eduardo San Román.
    • Servicio de Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires, Argentina. E-mail: marcos.lasheras@hospitalitaliano.org.ar.
    • Medicina (B Aires). 2019 Jan 1; 79 (6): 506-508.

    AbstractThe arteriovenous extracorporeal membrane is used in patients with hemodynamic and respiratory failure, unresponsive to conventional treatment. It provides transitory hemodynamic support, oxygenation and removal of CO2, allowing pulmonary rest. Moreover it offers the possibility of ultraprotective ventilation and avoids generation of VILI (Ventilation-Induced Lung Injury). It is not frequently used in patients with hemodynamic failure secondary to obstructive shock due to mediastinal compromise. We present the case of a patient with obstructive shock, mediastinal mass of lymphoproliferative origin that was treated with extracorporeal arteriovenous circulation membrane.

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