• Acta Med Okayama · Dec 2017

    Case Reports

    Severe Acute Respiratory Distress Syndrome Using Electrical Activity of the Diaphragm on Weaning from Extracorporeal Membrane Oxygenation.

    • Shuji Okahara, Kazuyoshi Shimizu, and Hiroshi Morimatsu.
    • Department of Anesthesiology and Resuscitology, Okayama University Hospital, Okayama 700-8558, Japan.sherizero@gmail.com.
    • Acta Med Okayama. 2017 Dec 1; 71 (6): 543-546.

    AbstractThe electrical activity of the diaphragm (EAdi) shows global diaphragmatic activation and power output from the central nervous system. We measured the EAdi as an indicator of breathing workload in a 40-year-old man suffering from severe acute respiratory distress syndrome (ARDS) secondary to influenza pneumonia in the process of weaning from extracorporeal membrane oxygenation (ECMO). Turning off the sweep gas flow immediately led to EAdi elevation, followed by hypoxia. The patient was successfully weaned from ECMO by reference to EAdi. This is the first case report to suggest that EAdi monitoring might be useful for ARDS patients during ECMO weaning.

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