title: [Acute respiratory distress syndrome and septic cardiomyopathy : successful application of veno-venoarterial extracorporeal membrane oxygenation].
abstract: A 30-year-old patient was admitted to hospital with fever and respiratory insufficiency due to community acquired pneumonia. Within a few days the patient developed septic cardiomyopathy and severe acute respiratory distress syndrome (ARDS) which deteriorated under conventional mechanical ventilation. Peripheral venoarterial extracorporeal membrane oxygenation (va-ECMO) was initiated by the retrieval team of an ARDS/ECMO centre at a paO2/FIO2 ratio of 73 mmHg and a left ventricular ejection fraction (EF) of 10 %. After 12 h va-ECMO was converted to veno-venoarterial ECMO (vva-ECMO) for improvement of pulmonary and systemic oxygenation. Left ventricular function improved (EF 45 %) 36 h after starting ECMO and the patient was weaned from vva-ECMO and converted to vv-ECMO. The patient was weaned successfully from vv-ECMO after 5 additional days and transferred back to the referring hospital for weaning from the ventilator.
authors.affiliation: Klinik und Poliklinik für Anästhesiologie, ARDS/ECMO-Zentrum, Universität Würzburg, Oberdürrbacherstr. 6, 97080, Würzburg, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Küstermann
authors.forename: A
authors.initials: A
authors.lastname: Gehrmann
authors.forename: M
authors.initials: M
authors.lastname: Kredel
authors.forename: T
authors.initials: T
authors.lastname: Wurmb
authors.forename: N
authors.initials: N
authors.lastname: Roewer
authors.forename: R M
authors.initials: RM
authors.lastname: Muellenbach
mesh_terms: D000328:Adult; D001784:Blood Gas Analysis; D009202:Cardiomyopathies / Q000209:etiology / Q000628:therapy*; D017548:Echocardiography, Transesophageal; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D008297:Male; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000628:therapy*; D012129:Respiratory Function Tests; D056152:Respiratory Rate / Q000502:physiology; D012772:Shock, Septic / Q000209:etiology / Q000628:therapy*; D013318:Stroke Volume; D015300:Ventilator Weaning; D016277:Ventricular Function, Left / Q000502:physiology
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