Life-threatening acute systemic lupus erythematosus: survival after multiple extracorporeal modalities: a place for the multipotential extracorporeal service.
Diffuse alveolar hemorrhage secondary to systemic lupus erythematosus (SLE) may cause life-threatening respiratory failure and may be associated with multiple organ failure. Extensive support may be necessary to sustain life while systemic therapy becomes effective. We report here a patient with profound respiratory failure secondary to SLE associated with multiorgan failure, who was supported with veno-arterial extracorporeal lung assist (ECLA), veno-venous ECLA, and multiple continuous renal replacement therapies during plasmapheresis. The full spectrum of extracorporeal life support and treatment modalities was performed seamlessly by a single service within the critical care department.
Tandon
M
M
Critical Care Medicine, R Adams Cowley Shock Trauma Center, University of Maryland Medicine, Baltimore 21201, USA.
Reynolds
H N
HN
Borg
U
U
Habashi
N M
NM
Cottingham
C
C
D000208:Acute Disease; D000328:Adult; D005260:Female; D017583:Hemodiafiltration; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000628:therapy*; D010106:Oxygenators; D010951:Plasma Exchange