title: [Use of ECMO as a salvage therapy for refractory hypoxia secondary to a Lemierre's syndrome].
abstract: We reported the case of a young adult with a Lemierre syndrome, which was complicated by septic shock and ARDS. Because of rapid onset of a life-threatening hypoxemia (PaO(2)/FiO(2)=60) in the course of the ARDS despite mechanical ventilation, ECMO was started with jugular and femoral cannulas, as rescue therapy. Good control of hypoxemia was obtained and ECMO was set up for six days. No significant complication was observed. The course was nevertheless complicated by acute renal failure and a pleural fistula that necessitated separate-lung ventilation during 24 hours. After 48 days left in the ICU, the patient was sent to a rehabilitation unit.
authors.affiliation: Service d'anesthésie réanimation, hôpital cardiologique Louis-Pradel, hospices civils de Lyon, Bron cedex, France.
authors.forename: A-C
authors.initials: AC
authors.lastname: Carre
authors.forename: J-S
authors.initials: JS
authors.lastname: David
authors.forename: A
authors.initials: A
authors.lastname: Mahr
authors.forename: C
authors.initials: C
authors.lastname: Flamens
authors.forename: P
authors.initials: P
authors.lastname: Fuster
authors.forename: O
authors.initials: O
authors.lastname: Bastien
mesh_terms: D058186:Acute Kidney Injury / Q000150:complications; D001784:Blood Gas Analysis; D003720:Densitometry; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D000860:Hypoxia / Q000209:etiology / Q000628:therapy*; D057831:Lemierre Syndrome / Q000150:complications / Q000628:therapy*; D010995:Pleural Diseases / Q000150:complications; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000150:complications / Q000628:therapy; D016879:Salvage Therapy / Q000379:methods*; D012772:Shock, Septic / Q000150:complications / Q000628:therapy; D055815:Young Adult