title: Venovenous Extracorporeal Membrane Oxygenation for Negative Pressure Pulmonary Hemorrhage in an Elderly Patient.
abstract: The patient in this case report was an 88-year-old male. Acute upper airway obstruction by food led to transient cardiac arrest, and negative pressure pulmonary hemorrhage (NPPH) occurred 1 hour after the foreign body obstruction. Using venovenous extracorporeal membrane oxygenation (ECMO) for severe acute respiratory distress syndrome resulting from NPPH, his respiratory state was recovered and hemoptysis stopped. NPPH is a life-threatening disease, the rapid recognition of which is required to initiate appropriate therapy. Although active hemorrhage might be a contraindication for ECMO, our experience showed this to be an effective treatment option. Moreover, our experience suggests that the application of ECMO to elderly patients should be considered on a case-by-case basis.
authors.affiliation: Traumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, Japan.
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Ishida
authors.affiliation: Traumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, Japan.
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Noborio
authors.affiliation: Traumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, Japan.
authors.forename: Nobutaka
authors.initials: N
authors.lastname: Iwasa
authors.affiliation: Traumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, Japan.
authors.forename: Taku
authors.initials: T
authors.lastname: Sogabe
authors.affiliation: Traumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, Japan.
authors.forename: Yohei
authors.initials: Y
authors.lastname: Ieki
authors.affiliation: Traumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Saoyama
authors.affiliation: Traumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, Japan.
authors.forename: Kyosuke
authors.initials: K
authors.lastname: Takahashi
authors.affiliation: Traumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, Japan.
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Shimahara
authors.affiliation: Traumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, Japan.
authors.forename: Daikai
authors.initials: D
authors.lastname: Sadamitsu