[Adult respiratory distress syndrome in legionella pneumonia--successful treatment with extracorporeal CO2 elimination procedures].
We report on successful treatment of an 46-year-old patient with ARDS (Adult Respiratory Distress Syndrome), caused by legionella-pneumophilia-pneumonia. The treatment with conventional artifical mechanical ventilation had failed. The new method of extracorporeal CO2-Elimination and low frequency positive pressure ventilation (ECCO2-R-LFPPV), introduced by L. Gattinoni (2) was in that case of severest ARDS very helpful. Supported by antimicrobial therapy with Erythromycin and Rifampicin the lung function could be improved to "restitutio ad integrum". Changes in chest radiographs, clinical parameters of ventilation, gas exchange and haemodynamics as well as the results of sequential pulmonary studies are demonstrated and discussed.
Müller
E
E
Abteilung für Anästhesie und Intensivtherapie am Klinikum der Philipps-Universität, Marburg/Lahn.
Knoch
M
M
Höltermann
W
W
Lennartz
H
H
D002245:Carbon Dioxide / Q000097:blood*; D003422:Critical Care / Q000379:methods; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D007877:Legionnaires' Disease / Q000097:blood / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D011175:Positive-Pressure Respiration / Q000379:methods*; D012128:Respiratory Distress Syndrome / Q000097:blood / Q000628:therapy*
D002245:Carbon Dioxide; D010100:Oxygen
ARDS bei Legionellen-Pneumonie--erfolgreiche Behandlung mit dem extrakorporalen CO2-Eliminationsverfahren.