Document Detail


IVOX in ARDS: respiratory effects and serious complications.
MedLine Citation:
PMID:  8005267     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe the beneficial effects of an intravenous oxygenator (IVOX) on ventilatory pressure requirement, and also several severe complications related to its use in a young trauma victim developing severe acute respiratory distress syndrome (ARDS). In this patient, adequate systemic oxygenation could not be maintained despite the use of fractional inspired oxygen of 1.0, high level positive end-expiratory pressure (PEEP), and nitric oxide inhalation (30 ppm). The introduction of an intravenous oxygenator improved arterial oxygenation and CO2 elimination, allowing a decrease in minute ventilation and airway pressure. However, hepatic cytolysis, acute renal dysfunction and iliac vein thrombosis developed concomitantly, in spite of full anticoagulation with heparin. These complications resolved rapidly after removal of the IVOX device and the patient made a good recovery.
Authors:
Y Gasche; J A Romand; R Prêtre; P M Suter
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The European respiratory journal     Volume:  7     ISSN:  0903-1936     ISO Abbreviation:  Eur. Respir. J.     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-07-20     Completed Date:  1994-07-20     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  8803460     Medline TA:  Eur Respir J     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  821-3     Citation Subset:  IM    
Affiliation:
Division of Surgical Intensive Care, Hôpital Cantonal Universitaire, Geneva, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Humans
Male
Oxygen / blood
Oxygenators* / adverse effects
Respiratory Distress Syndrome, Adult / blood,  physiopathology,  therapy*
Tidal Volume
Vena Cava, Superior
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

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