title: [Treatment of severe respiratory failure with cardiopulmonary extracorporeal assistance. A clinical case].
abstract: Cardiopulmonary extracorporeal assistance is a high complexity procedure for patients with acute respiratory failure, who have failed conventional ventilatory support. A 30 years old female patient with bacterial endocarditis and congestive cardiac failure subjected to cardiac surgery presented severe hypoxemia, right heart failure and pulmonary hypertension, and failed conventional treatment. Cardiopulmonary support with extracorporeal membrane oxygenation (ECMO) reverted the pathophysiologic alterations allowing a successful recovery.
authors.affiliation: Programa de Medicina Intensiva, Departamento de Anestesiología, Departamento de Enfermedades Cardiovasculares, Hospital Clínico Pontificia Universidad Católica de Chile. castillo@med.puc.cl
authors.forename: Luis
authors.initials: L
authors.lastname: Castillo
authors.forename: Soledad
authors.initials: S
authors.lastname: Velasco
authors.forename: Manuel José
authors.initials: MJ
authors.lastname: Irarrázabal
authors.forename: Bernardita
authors.initials: B
authors.lastname: Garayar
authors.forename: Glenn
authors.initials: G
authors.lastname: Hernández
authors.forename: Samuel
authors.initials: S
authors.lastname: Córdova
authors.forename: Carlos
authors.initials: C
authors.lastname: Romero
authors.forename: Guillermo
authors.initials: G
authors.lastname: Bugedo
mesh_terms: D000328:Adult; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006331:Heart Diseases / Q000601:surgery; D006333:Heart Failure / Q000601:surgery; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D000860:Hypoxia / Q000150:complications; D012121:Respiration, Artificial / Q000009:adverse effects*; D012128:Respiratory Distress Syndrome / Q000628:therapy; D012131:Respiratory Insufficiency / Q000628:therapy*