title: Venovenous extracorporeal membrane oxygenation as an adjunct to surgery for empyema: report of a case.
abstract: Empyema is a serious and often life-threatening condition. We report the case of a 45-year-old man with severe hypoxia caused by empyema after streptococcal pneumonia, which we successfully treated by surgical drainage assisted by a venovenous extracorporeal membrane oxygenation (ECMO) device. This device provided sufficient oxygenation during the perioperative period and was not associated with excessive bleeding under systemic heparinization. This case report shows the effectiveness of ECMO in allowing surgery and enhancing its benefits in patients with serious hypoxia.
authors.affiliation: Department of Emergency and Critical Care Medicine, Sapporo City General Hospital, North-11 West-13, Chuo-ku, Sapporo 060-8604, Japan.
authors.forename: Hiromi
authors.initials: H
authors.lastname: Jotoku
authors.forename: Satoru
authors.initials: S
authors.lastname: Sugimoto
authors.forename: Akihiro
authors.initials: A
authors.lastname: Usui
authors.forename: Akihiko
authors.initials: A
authors.lastname: Tanaka
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Makise
mesh_terms: D016503:Drug Delivery Systems; D016724:Empyema, Pleural / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation / Q000379:methods*; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D000860:Hypoxia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000150:complications*; D011300:Preoperative Care; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy; D013908:Thoracotomy
chemical_list: D006493:Heparin