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Pumpless extracorporeal pulmonary care: an alternative in the treatment of persistent acute respiratory distress syndrome


, : Pumpless extracorporeal pulmonary care: an alternative in the treatment of persistent acute respiratory distress syndrome. Medicina Intensiva 32(5): 253-257

A 34-year old woman who developed persistent and severe acute respiratory distress syndrome with underlying myelomonocytic leukemia (M4FAB) is described. After ruling out the most common causes of pulmonary infiltration in this type of patient and one week of broad spectrum antibiotics and steroids therapy, we proposed leukemic pulmonary infiltration as etiological diagnosis. Despite using a protective ventilatory strategy, recruitment maneuvers, prone position and high frequency oscillatory ventilation, her gas exchange became worse. Under this condition we used a Pumpless-Extracorporeal life assist (PELA) and begun chemotherapy. The method, arterial blood gases, hemodynamic parameters and ventilatory mechanics before and after its use are described. The patient remained on P-ELA for nine days; one week later she was extubated and ten days after she was discharged from the Intensive Care Unit the patient left the hospital in good health condition.

US$29.90

PMID: 18570836


Other references

Anonymous, 2014: National guidelines for donation after cardiac death in China. Hepatobiliary & Pancreatic Diseases International 12(3): 234-238

Leem, G.; Zhang, S.; Jamison, A.C.; Galstyan, E.; Rusakova, I.; Lorenz, B.; Litvinov, D.; Lee, T.Randall., 2011: Light-induced covalent immobilization of monolayers of magnetic nanoparticles on hydrogen-terminated silicon. Specifically tailored ω-alkenyl-1-carboxylic acids were synthesized for use as surfactants in the single-step preparation of manganese ferrite (MnFe2O4) nanoparticles (NPs). Monodisperse manganese ferrite NPs terminated with ω-alkenyl moieties w...

Okamura T., 1986: Laser treatment of laryngeal diseases. Practica Otologica Kyoto 79(5): 697-699

Mukerjee, S.; Nigam, M.; Saraf, J.C., 1973: Primary retroperitoneal hydatid cyst. A 45-year-old woman was successfully treated in Delhi, India, for a primary retroperitoneal hydatid cyst by marsupialization.

Hong Xuehai; Zhu Zongpei, 1996: The research of the evaluation and optimum seeking for completion method of oil and gas well. International Geological Congress, Abstracts--Congres Geologique Internationale, Resumes 30, VOL

Dykes, F., 2002: Western medicine and marketing: construction of an inadequate milk syndrome in lactating women. I conducted a longitudinal phenomenological study in England to explore the perceptions of 10 lactating women related to the nature of their breast milk and their ability to exclusively breast-feed their babies. The women viewed breast-feeding as...

Smith J.B.; Bocchieri M.H.; Smith J.B.Jr; Sherbin Allen L.; Abruzzo J.L., 1990: Colony stimulating factor occurs in both inflammatory and noninflammatory synovial fluids. Synovial fluids (SF) from patients with osteoarthritis (OA) and rheumatoid arthritis (RA) and various other arthritides were examined for the presence of colony stimulating factors (CSF). CSF was found in 7 of 13 (54%) SF from OA patients and in 8...

Saha, M.P.; Ojha, J.P.ndey, P.K.; Datta Munshi, J.S., 1977: Comparative histochemical study of the succinic dehydropenase (SDH) activity in the respiratory muscles of an air-breathing siluroid sh Clarias batrachus (Linn. ). Anatomischer Anzeiger, 1412: 106-118

Mori, T.; Yamagami, T.; Umeda, M.; Sugiyama, M., 1991: Small cell anaplastic carcinoma of the lung with cerebral metastasis in a dog. Journal of Veterinary Medical Science 53(6): 1129-1131

Moreira, C.G.; Rios, E.; Alvarez, E.; Barrios, E.; Perez, S.; Sanchez, A., 1977: The inotropic memory of amphibian myocardium. (1) Experimentally observed changes of contractile force induced by changes in the pattern of stimulation of frog ventricular myocardium were compared with predictions computed on the basis of a model for the contractile conditioning, proposed in...