[Post-traumatic ARDS--a potential indication for lung transplantation?].
Posttraumatic adult respiratory distress syndrome (ARDS) still involves significant mortality, despite progress in management concepts. Current therapeutic strategies are briefly described, including kinetic therapy, high-frequency jet ventilation and extracorporeal membrane oxygenation. In addition, a spectacular case of the first successful lung transplantation for posttraumatic ARDS after failed ECMO (extracorporeal membrane oxygenation) support is reported. This young man with severe posttraumatic ARDS developed a potentially lethal bilateral pulmonary hemorrhage under treatment with ECMO, and on the basis of this bilateral pulmonary transplantation was considered to be indicated. The patient is alive and well 2 years after the procedure.
Demertzis
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Klinik für Thorax-, Herz- und Gefässchirurgie, Medizinische Hochschule Hannover.
Haverich
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A
D000328:Adult; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D016040:Lung Transplantation / Q000502:physiology*; D008176:Lung Volume Measurements; D008297:Male; D009104:Multiple Trauma / Q000503:physiopathology / Q000601:surgery*; D010100:Oxygen / Q000097:blood; D011175:Positive-Pressure Respiration; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery*; D012086:Reoperation; D012128:Respiratory Distress Syndrome / Q000503:physiopathology / Q000601:surgery*
D010100:Oxygen
Das posttraumatische ARDS--eine potentielle Indikation zur Lungentransplantation?