One Hundred Seven Days of ECMO as a Bridge to Lung Transplantation: The Longest Duration Among Elderly Patients
´ëÇÑÁßȯÀÚÀÇÇÐȸÁö 2014³â 29±Ç 1È£ p.48 ~ p.51
±èÀºÁ¤(Kim Eun-Jung) - Yonsei University College of Medicine Department of Anesthesiology and Pain Medicine
¹éȿä(Paik Hyo-Chae) - Yonsei University College of Medicine Department of Anesthesiology and Pain Medicine
¹Ú¹«¼®(Park Moo-Suk) - Yonsei University College of Medicine Department of Internal Medicine
±è¸íÈ(Kim Myung-Hwa) - Yonsei University College of Medicine Department of Anesthesiology and Pain Medicine
°í½Å¿Á(Koh Shin-Ok) - Yonsei University College of Medicine Department of Anesthesiology and Pain Medicine
ÀÌÀ¯Áø(Lee You-Jin) - Yonsei University College of Medicine Department of Anesthesiology and Pain Medicine
³ª¼º¿ø(Na Sung-Won) - Yonsei University College of Medicine Department of Anesthesiology and Pain Medicine
Abstract
Extracorporeal membrane oxygenation (ECMO) is a means for supporting adequate gas exchange in patients with severe respiratory failure and is the only therapeutic option for ventilation-refractory patients awaiting lung transplantation. Moreover, defining the patients likely to benefit from ECMO as a bridge to transplantation has recently become a point of interest. Here, we report a case of prolonged ECMO support to a patient awaiting lung transplantation. A 66-year-old woman was diagnosed with acute interstitial pneumonia and was placed on veno-venous (VV) ECMO due to unsatisfactory gas exchange despite maximal ventilator care. She underwent bilateral lung transplantation after 99 days of ECMO and was successfully weaned from it on the 107th ECMO day. This is the longest period of ECMO support to be reported among elderly patients.
Å°¿öµå
extracorporeal membrane oxygenation, lung transplantation, respiratory insufficiency
KMID :
0604020140290010048
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)