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- Title
Utilizing extracorporeal membrane oxygenation and surfactant in the management of severe acute respiratory distress syndrome due to hydrocarbon pneumonitis.
- Authors
Rufener, Christina R; Friedman, Nathan A; Vaught, Jordan E; Harvey, Helen A; Coufal, Nicole G
- Abstract
Severe cases of hydrocarbon aspiration requiring Extracorporeal Membrane Oxygenation (ECMO) are rarely reported in pediatrics, and 90% of hospitalized patients have a relatively benign clinical course. We describe a 14 month-old female with accidental hydrocarbon ingestion and aspiration due to organic makeup brush cleaner that suffered severe ARDS and multiorgan failure, successfully managed with ECMO and surfactant. She was decannulated after a total of 72 hours on ECMO, extubated on hospital day 15 (HD 15), and discharged home in her normal state of health after one month in the hospital. ECMO and adjunctive therapies such as surfactant may be helpful in the management of severe hydrocarbon pneumonitis and there are limited reports of ECMO as a supportive method for these pediatric patients.
- Subjects
RESPIRATORY aspiration -- Risk factors; PNEUMONIA; PLEURAL effusions; HYPERVOLEMIA; EXTRACORPOREAL membrane oxygenation; ADULT respiratory distress syndrome; ASCITES; BLOOD filtration; HYDROCARBONS; MULTIPLE organ failure; COMPUTED tomography; PNEUMOTHORAX; CATHETERIZATION; CHEST X rays; INTRA-abdominal hypertension; RESPIRATORY measurements; INFLAMMATION; IRRIGATION (Medicine); PULMONARY surfactant; CYANOSIS; ECHOCARDIOGRAPHY; DISEASE risk factors; DISEASE complications
- Publication
Perfusion, 2024, Vol 39, Issue 3, p615
- ISSN
0267-6591
- Publication type
Article
- DOI
10.1177/02676591221148605