title: Acute respiratory distress syndrome (ARDS) treated successfully by veno-venous extracorporeal membrane oxygenation (ECMO) in a nearly drowned patient.
abstract: This report highlights about one acute respiratory distress syndrome (ARDS) case after near-drowning resuscitated using extracorporeal membrane oxygenation (ECMO). Few cases have been reported about ECMO use for near-drowning and in most of these cases, ECMO was initiated within the first week. However, in our report, we would like to emphasize that seemingly irreversible secondary worsening of ARDS after nearly drowned patient was successfully treated by ECMO use more than 1 week after near-drowning followed by discharge without home oxygen therapy, social support, or any complication. This is probably due to sufficient lung rest for ventilator-associated lung injury during ECMO use. Based on our case's clinical course, intensive care unit physicians must consider ECMO even in the late phase of worsened ARDS after near-drowning.
authors.affiliation: Department of Emergency Medicine and Critical Care Medicine, Graduate School of Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan, sonopy77@gmail.com.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Sonoo
authors.forename: Kazuma
authors.initials: K
authors.lastname: Ohshima
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kobayashi
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Asada
authors.forename: Takahiro
authors.initials: T
authors.lastname: Hiruma
authors.forename: Kento
authors.initials: K
authors.lastname: Doi
authors.forename: Masataka
authors.initials: M
authors.lastname: Gunshin
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Murakawa
authors.forename: Masaki
authors.initials: M
authors.lastname: Anraku
authors.forename: Susumu
authors.initials: S
authors.lastname: Nakajima
authors.forename: Jun
authors.initials: J
authors.lastname: Nakajima
authors.forename: Naoki
authors.initials: N
authors.lastname: Yahagi
mesh_terms: D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D015701:Near Drowning / Q000150:complications*; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome