| Extracorporeal membrane oxygenation for ARDS in adults. | |
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MedLine Citation:
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PMID: 22087681 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 41-year-old woman presents with severe community-acquired pneumococcal pneumonia. Chest radiography reveals diffuse bilateral infiltrates, and hypoxemic respiratory failure develops despite appropriate antibiotic therapy. She is intubated and mechanical ventilation is initiated with a volume- and pressure-limited approach for the acute respiratory distress syndrome (ARDS). Over the ensuing 24 hours, her partial pressure of arterial oxygen (Pao2) decreases to 40 mm Hg, despite ventilatory support with a fraction of inspired oxygen (Fio2) of 1.0 and a positive end-expiratory pressure (PEEP) of 20 cm of water. She is placed in the prone position and a neuromuscular blocking agent is administered, without improvement in her Pao2. An intensive care specialist recommends the initiation of extracorporeal membrane oxygenation (ECMO). |
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Authors:
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Daniel Brodie; Matthew Bacchetta |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The New England journal of medicine Volume: 365 ISSN: 1533-4406 ISO Abbreviation: N. Engl. J. Med. Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-11-17 Completed Date: 2011-12-07 Revised Date: 2012-02-09 |
Medline Journal Info:
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Nlm Unique ID: 0255562 Medline TA: N Engl J Med Country: United States |
Other Details:
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Languages: eng Pagination: 1905-14 Citation Subset: AIM; IM |
Affiliation:
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Columbia University College of Physicians and Surgeons, and New York-Presbyterian Hospital, New York, NY 10032, USA. hdb5@columbia.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anoxia / etiology, therapy Community-Acquired Infections / complications Extracorporeal Membrane Oxygenation* / adverse effects, methods Female Humans Pneumonia, Pneumococcal / complications Practice Guidelines as Topic Respiratory Distress Syndrome, Adult / etiology, therapy* |
| Comments/Corrections | |
Comment In:
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N Engl J Med. 2012 Feb 9;366(6):575-6; author reply 576
[PMID:
22316467
]
N Engl J Med. 2012 Feb 9;366(6):575; author reply 576 [PMID: 22316465 ] N Engl J Med. 2012 Feb 9;366(6):575; author reply 576 [PMID: 22316466 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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