Prolonged Maintenance of VV ECMO for 104 Days with Native Lung Recovery in Acute Respiratory Failure
- Authors
- Moon, Seong Mi; Lee, Hyun; Moon, Ji Hoon; Kim, Hee Kyung; Park, Jee Eun; Byeon, Seonggyu; Suh, Gee Young; Chung, Chi Ryang
- Issue Date
- Mar-2016
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- acute respiratory failure; ethics; extracorporeal membrane oxygenation; prolonged maintenance; lung recovery
- Citation
- ASAIO JOURNAL, v.62, no.2, pp.e15 - e17
- Indexed
- SCIE
SCOPUS
- Journal Title
- ASAIO JOURNAL
- Volume
- 62
- Number
- 2
- Start Page
- e15
- End Page
- e17
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/5100
- DOI
- 10.1097/MAT.0000000000000293
- ISSN
- 1058-2916
- Abstract
- Recently, extracorporeal membrane oxygenation (ECMO) support has been increasingly applied in acute respiratory failure. The ECMO brings some advantages for enhancing the capacity of lung regeneration. Thus, the timing of determining irreversibility of the injured lung could be delayed. In this study, we experienced a case of prolonged maintenance of veno-venous ECMO for 104 days that resulted in native lung recovery. In this case, the initial empirical treatment showed no response within 4 weeks with ECMO support but the patient did not want a lung transplantation. With prolonged maintenance of the ECMO, related ethical issues arose, such as how long should the applied ECMO be maintained. Hence, there was a discussion that was centered on the timing of determining futility and ethical issues, while applying the ECMO in acute respiratory failure.
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