• Ann. Thorac. Surg. · Jul 2004

    Case Reports

    Successful therapy of severe pneumonia-associated ARDS after pneumonectomy with ECMO and steroids.

    • Martin Dünser, Walter Hasibeder, Michael Rieger, and Andreas J Mayr.
    • Division of General and Surgical Intensive Care Medicine, Department of Anesthesia and Critical Care Medicine, Leopold-Franzens-University of Innsbruck, Innsbruck, Austria.
    • Ann. Thorac. Surg. 2004 Jul 1;78(1):335-7.

    AbstractPneumonia and acute respiratory distress syndrome are life-threatening complications after pneumonectomy carrying high mortality. Because pulmonary reserve is inadequately low, an effective therapeutic strategy is needed to treat hypoxia. Extracorporeal membrane oxygenation is a highly effective method to reverse hypoxia in patients with acute respiratory distress syndrome, but has only once been described in a patient with postpneumonectomy pulmonary edema. We report a case of successful extracorporeal membrane oxygenation therapy in a patient with pneumonia-associated acute respiratory distress syndrome after pneumonectomy. Methylprednisolone therapy caused a dramatic improvement of pulmonary and systemic organ function.

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