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Ann Fr Anesth Reanim · Sep 2010
Case Reports[Respiratory support using veno-venous ECMO during lung resection for aspergilloma].
- F Julien, A Mosolo, J P Hubsch, R Souilhamas, D Safran, and B Cholley.
- Service d'anesthésie-réanimation, hôpital européen Georges-Pompidou, AP-HP, 20 rue Leblanc, Paris cedex 15, France.
- Ann Fr Anesth Reanim. 2010 Sep 1; 29 (9): 645-7.
AbstractRespiratory support using extra corporeal membrane oxygenation (ECMO) is rarely used in the setting of adult lung surgery, with the exception of lung transplantation. We report the case of a patient with pulmonary aspergilloma, for whom selective bronchial intubation was required to facilitate surgery. Intolerance to unilateral ventilation was anticipated due to poor underlying lung function. Intra-operatively, an attempt to lung exclusion was responsible for severe hypoxemia. The use of veno-venous ECMO allowed to improve oxygenation and lung resection was carried out successfully at the expense of major intra-operative bleeding.Copyright (c) 2010 Elsevier Masson SAS. All rights reserved.
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