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01-09-2018 | Case Report

Exogenous surfactant as a bridge to prolonged “total lung rest” in severely injured patient during extracorporeal membrane oxygenation

Authors: Peter Sklienka, Jan Maca, Filip Bursa, Jan Neiser, Roman Kula, Marcela Kanova, Tomas Danek, Pavel Sevcik

Published in: Journal of Artificial Organs | Issue 3/2018

Abstract

We report a case of a 20-year-old male patient suffering from motorcycle accident complicated by rapid development of severe refractory hypoxemia and hypercapnia due to serious bilateral lung contusions and lacerations. Positive pressure mechanical ventilation induced pressure-dependent massive air leak from disrupted pulmonary tissue. Simultaneous implementation of veno-venous extracorporeal membrane oxygenation together with surfactant application allowed prolonged disconnection of patient from mechanical ventilation (“total lung rest” mode). Despite considerable areas of nonaerated tissue on computed tomography prior to the disconnection from mechanical ventilation, almost total functional recovery of lungs was eventually achieved.

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Title: Exogenous surfactant as a bridge to prolonged “total lung rest” in severely injured patient during extracorporeal membrane oxygenation
Authors: Peter Sklienka
Jan Maca
Filip Bursa
Jan Neiser
Roman Kula
Marcela Kanova
Tomas Danek
Pavel Sevcik
Publication date: 01-09-2018
Publisher: Springer Japan
Published in: Journal of Artificial Organs / Issue 3/2018
Print ISSN: 1434-7229
Electronic ISSN: 1619-0904
DOI: https://doi.org/10.1007/s10047-018-1037-2

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Exogenous surfactant as a bridge to prolonged “total lung rest” in severely injured patient during extracorporeal membrane oxygenation

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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