Unexpected complication during extracorporeal membrane oxygenation support: Ventilator associated systemic air embolism
Unexpected complication during extracorporeal membrane oxygenation support: Ventilator associated systemic air embolism作者机构：Department of Thoracic and Cardiovascular Surgery Kangwon National University Hospital School of Medicine Kangwon National Univerity
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2018年第6卷第9期
页 面：274-278页
核心收录：
学科分类：10[医学]
基 金：Supported by 2014 Research Grant from Kangwon National University
主 题：Air embolism Extracorporeal membrane oxygenation Cerebral embolism Positive-pressure ventilation Cardio-pulmonary resuscitation
摘 要：Systemic air embolism through a bronchovenous fistu-la(BVF) has been described in patients undergoing positive-pressure ventilation. However, no report has mentioned the potential risks of systemic air embolism through a BVF in patients undergoing extracorporeal membrane oxygenation(ECMO). Positive-pressure ventilation and ECMO support in patients with lung injury can increase the risk of systemic air embolism through a BVF. Increased alveolar pressure, decreased pulmonary venous pressure, and anticoagulation are thought to be the factors that contribute to this complication. Here, we present a case of systemic air embolism in a patient with ECMO and mechanical ventilator support.
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