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 Low Flow Veno-Venous ECMO Via Subclavian Dialysis Catheter for Severe Respiratory Failure
(#1998-32498 ... December 7, 1998)
Moisés Calderón, MD, PhD1, Pedro Reyes, CCP1, Adrian Tovar, MD3, Eduardo Nuñez, MD3, Jesus Lagunas, MD3, Armando Soberanes, MD2, Victor Lozano, MD1 Arturo Jaquez, MD1, Enrique Martínez, MD1
1 Department of Cardiac Surgery and Circulatory Support
2 Pediatric Nephrology, La Raza Medical Center-Mexican Institute for Social Security
3 Bufete Médico, México City, México
ABSTRACT
Background: We present the case of a 12-year-old female with severe postoperative bacterial pneumonia unresponsive to conventional treatment following a failed renal transplant.
Case Report: The patient was placed on low flow veno-venous extracorporeal membrane oxygenation (ECMO) as an adjuvant treatment to antibiotic therapy and maximal ventilatory support. Venous ECMO resulted in rapid improvement and the patient was successfully weaned after 48 hours of circulatory assistance. Two days later, the patient was extubated and safely discharged from the intensive care unit. Eighteen months later, she remains stable on peritoneal dialysis and is awaiting a new donor kidney.
Conclusions: Low flow veno-venous ECMO represents a new therapeutic alternative for critically ill patients whose condition does not meet the conventional ECMO criteria. Further clinical experience is still needed.
AUTHOR/ARTICLE INFORMATION
Reprint requests to: Moisés Calderón, MD, PhD Paseo de la soledad 69, La Herradura, Edo Mex, 53920, México
Submitted on: October 8, 1998
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