Venovenous Extracorporeal Membrane Oxygenation for Negative Pressure Pulmonary Hemorrhage in an Elderly Patient

The patient in this case report was an 88-year-old male. Acute upper airway obstruction by food led to transient cardiac arrest, and negative pressure pulmonary hemorrhage (NPPH) occurred 1 hour after the foreign body obstruction. Using venovenous extracorporeal membrane oxygenation (ECMO) for sever...

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Main Authors: Kenichiro Ishida, Mitsuhiro Noborio, Nobutaka Iwasa, Taku Sogabe, Yohei Ieki, Yuki Saoyama, Kyosuke Takahashi, Yumiko Shimahara, Daikai Sadamitsu
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2015/908157
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author Kenichiro Ishida
Mitsuhiro Noborio
Nobutaka Iwasa
Taku Sogabe
Yohei Ieki
Yuki Saoyama
Kyosuke Takahashi
Yumiko Shimahara
Daikai Sadamitsu
author_facet Kenichiro Ishida
Mitsuhiro Noborio
Nobutaka Iwasa
Taku Sogabe
Yohei Ieki
Yuki Saoyama
Kyosuke Takahashi
Yumiko Shimahara
Daikai Sadamitsu
author_sort Kenichiro Ishida
collection DOAJ
description The patient in this case report was an 88-year-old male. Acute upper airway obstruction by food led to transient cardiac arrest, and negative pressure pulmonary hemorrhage (NPPH) occurred 1 hour after the foreign body obstruction. Using venovenous extracorporeal membrane oxygenation (ECMO) for severe acute respiratory distress syndrome resulting from NPPH, his respiratory state was recovered and hemoptysis stopped. NPPH is a life-threatening disease, the rapid recognition of which is required to initiate appropriate therapy. Although active hemorrhage might be a contraindication for ECMO, our experience showed this to be an effective treatment option. Moreover, our experience suggests that the application of ECMO to elderly patients should be considered on a case-by-case basis.
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institution OA Journals
issn 2090-6420
2090-6439
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Critical Care
spelling doaj-art-acef2782e8e548c6b5c7fb0abb80b7612025-08-20T02:20:23ZengWileyCase Reports in Critical Care2090-64202090-64392015-01-01201510.1155/2015/908157908157Venovenous Extracorporeal Membrane Oxygenation for Negative Pressure Pulmonary Hemorrhage in an Elderly PatientKenichiro Ishida0Mitsuhiro Noborio1Nobutaka Iwasa2Taku Sogabe3Yohei Ieki4Yuki Saoyama5Kyosuke Takahashi6Yumiko Shimahara7Daikai Sadamitsu8Traumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanTraumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanTraumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanTraumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanTraumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanTraumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanTraumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanTraumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanTraumatology and Critical Care Medical Center, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanThe patient in this case report was an 88-year-old male. Acute upper airway obstruction by food led to transient cardiac arrest, and negative pressure pulmonary hemorrhage (NPPH) occurred 1 hour after the foreign body obstruction. Using venovenous extracorporeal membrane oxygenation (ECMO) for severe acute respiratory distress syndrome resulting from NPPH, his respiratory state was recovered and hemoptysis stopped. NPPH is a life-threatening disease, the rapid recognition of which is required to initiate appropriate therapy. Although active hemorrhage might be a contraindication for ECMO, our experience showed this to be an effective treatment option. Moreover, our experience suggests that the application of ECMO to elderly patients should be considered on a case-by-case basis.http://dx.doi.org/10.1155/2015/908157
spellingShingle Kenichiro Ishida
Mitsuhiro Noborio
Nobutaka Iwasa
Taku Sogabe
Yohei Ieki
Yuki Saoyama
Kyosuke Takahashi
Yumiko Shimahara
Daikai Sadamitsu
Venovenous Extracorporeal Membrane Oxygenation for Negative Pressure Pulmonary Hemorrhage in an Elderly Patient
Case Reports in Critical Care
title Venovenous Extracorporeal Membrane Oxygenation for Negative Pressure Pulmonary Hemorrhage in an Elderly Patient
title_full Venovenous Extracorporeal Membrane Oxygenation for Negative Pressure Pulmonary Hemorrhage in an Elderly Patient
title_fullStr Venovenous Extracorporeal Membrane Oxygenation for Negative Pressure Pulmonary Hemorrhage in an Elderly Patient
title_full_unstemmed Venovenous Extracorporeal Membrane Oxygenation for Negative Pressure Pulmonary Hemorrhage in an Elderly Patient
title_short Venovenous Extracorporeal Membrane Oxygenation for Negative Pressure Pulmonary Hemorrhage in an Elderly Patient
title_sort venovenous extracorporeal membrane oxygenation for negative pressure pulmonary hemorrhage in an elderly patient
url http://dx.doi.org/10.1155/2015/908157
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