Document Detail

Challenges during repeat extracorporeal life support in a patient with pulmonary alveolar proteinosis.
MedLine Citation:
PMID:  21873931     Owner:  NLM     Status:  MEDLINE    
Extracorporeal life support (ECLS) is used to support patients with pulmonary alveolar proteinosis (PAP) both during acute illness and during lung lavage therapies. We report the challenges encountered while providing ECLS for respiratory failure to a 12-year-old girl with PAP who had previously received ECLS as a toddler for a prior episode of respiratory failure due to PAP. She was placed on venovenous-arterial (VVA) ECLS and subsequently switched to venovenous (VV) ECLS with drainage from the right femoral vein and reinfusion by a long cannula placed into the right atrium. Our case illustrates standard cannulation may not be possible for children requiring a second ECLS course and the importance of considering alternative modes of cannulation and ECLS support when conventional methods are not possible.
Hemanth Lingadevaru; Matthew A Romano; Karen Fauman; Elaine Cooley; Gail M Annich; Timothy T Cornell
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  ASAIO journal (American Society for Artificial Internal Organs : 1992)     Volume:  57     ISSN:  1538-943X     ISO Abbreviation:  ASAIO J.     Publication Date:    2011 Sep-Oct
Date Detail:
Created Date:  2011-08-29     Completed Date:  2012-01-23     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  9204109     Medline TA:  ASAIO J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  473-4     Citation Subset:  IM    
Pediatric Critical Care Medicine, University of Michigan, Ann Arbor, Michigan 48109, USA.
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MeSH Terms
Bronchoalveolar Lavage / methods
Extracorporeal Membrane Oxygenation
Femoral Vein / pathology
Heart Atria / pathology
Pulmonary Alveolar Proteinosis / therapy*
Respiratory Insufficiency / therapy*
Treatment Outcome
Grant Support
K08 HD062142-01A1/HD/NICHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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