kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2017-6-4-146-147kpccz-348Research ArticleСЛУЧАЙ ИЗ ПРАКТИКИCASE STUDYEXTRACORPOREAL MEMBRANE OXYGENATION FOR STATUS ASTHMATICUS: A CASE REPORT ECMO FOR STATUS ASTHMATICUSEXTRACORPOREAL MEMBRANE OXYGENATION FOR STATUS ASTHMATICUS: A CASE REPORT ECMO FOR STATUS ASTHMATICUSLambaH.LambaH.ElgudinY.ElgudinY.DeoS.DeoS.MedalionB.MedalionB.SareyyupogluB.SareyyupogluB.MarkowitzA.MarkowitzA.ParkS.ParkS.University Hospitals Cleveland Medical Center Harrington Heart and Vascular InstituteUnited States20170112201764146147Copyright © Lamba H., Elgudin Y., Deo S., Medalion B., Sareyyupoglu B., Markowitz A., Park S., 20172017Lamba H., Elgudin Y., Deo S., Medalion B., Sareyyupoglu B., Markowitz A., Park S.Lamba H., Elgudin Y., Deo S., Medalion B., Sareyyupoglu B., Markowitz A., Park S.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/348

.

Technological advances in extracorporeal membrane oxygenation and emerging evidence that it improves survival in adults with reversible respiratory failure compared to conventional ventilation has lead to increased utilization of extracorporeal membrane oxygenation in adults, usually in the context of acute respiratory distress syndrome. Refractory status asthmaticus is an uncommon indication for extracorporeal membrane oxygenation. We present a case of near fatal respiratory failure and hypercapnia in a 48-year-old male in status asthmaticus not responsive to optimal ventilatory treatment. The use of veno-venous extracorporeal membrane oxygenation resulted in full recovery with return of normal respiratory function within nine days.

acute respiratory failurebronchial asthmaextracorporeal membrane oxygenationReferencesKrishnan V., Diette G.B., Rand C.S., Bilderback A.L., Merriman B., Hansel N.H., Krishnan J.A. Mortality in patients hospitalized for asthma exacerbations in the United States. Am J RespirCrit Care Med. 2006;174(6):633-638.Krishnan V., Diette G.B., Rand C.S., Bilderback A.L., Merriman B., Hansel N.H., Krishnan J.A. Mortality in patients hospitalized for asthma exacerbations in the United States. Am J RespirCrit Care Med. 2006;174(6):633-638.Brenner B., Corbridge T., Kazzi A. Intubation and mechanical ventilation of the asthmatic patient in respiratory failure. Proceedings of the American Thoracic Society. 2009;6(4):371-379.Brenner B., Corbridge T., Kazzi A. Intubation and mechanical ventilation of the asthmatic patient in respiratory failure. Proceedings of the American Thoracic Society. 2009;6(4):371-379.Makdisi G., Wang I. Extra corporeal membrane oxygenation (ECMO) review of a lifesaving technology. J Thorac Dis. 2015;7(7):E166-E176.Makdisi G., Wang I. Extra corporeal membrane oxygenation (ECMO) review of a lifesaving technology. J Thorac Dis. 2015;7(7):E166-E176.Kolobow T., Gattinoni L., Tomlinson T.,White D., Pierce J., Iapichino G.The carbon dioxide membrane lung (CDML): a new concept. Trans Am SocArtif Intern Organs. 1977;23:17-21.Kolobow T., Gattinoni L., Tomlinson T.,White D., Pierce J., Iapichino G.The carbon dioxide membrane lung (CDML): a new concept. Trans Am SocArtif Intern Organs. 1977;23:17-21.Mikkelsen M.E., Woo Y.J., Sager J.S., Fuchs B.D., Christie J.D. Outcomes using extracorporeal life support for adult respiratory failure due to status asthmaticus. ASAIO J. 2009;55(1):47-52.Mikkelsen M.E., Woo Y.J., Sager J.S., Fuchs B.D., Christie J.D. Outcomes using extracorporeal life support for adult respiratory failure due to status asthmaticus. ASAIO J. 2009;55(1):47-52.Jung C., LautenA., Pfeifer R., Bahrmann P., Figulla HR, Ferrari M. Pumpless extracorporeal lung assist for the treatment of severe, refractory status asthmaticus. J Asthma. 2011; 48: 111-113Jung C., LautenA., Pfeifer R., Bahrmann P., Figulla HR, Ferrari M. Pumpless extracorporeal lung assist for the treatment of severe, refractory status asthmaticus. J Asthma. 2011; 48: 111-113Lobas S., Carey M. Rescue of acute refractory hypercapnia and acidosis secondary to life-threatening asthma with extracorporeal carbon dioxide removal (ECCO2R). The Intensive Care Society. 2011;12(2):140-143.Lobas S., Carey M. Rescue of acute refractory hypercapnia and acidosis secondary to life-threatening asthma with extracorporeal carbon dioxide removal (ECCO2R). The Intensive Care Society. 2011;12(2):140-143.Kukita I., Okamoto K., Sato T.Shibata Y., Taki K., Kurose M. et al: Emergency extracorporeal life support for patients with near-fatal status asthmaticus. Am J Emer Med. 1997;15: 566-569.Kukita I., Okamoto K., Sato T.Shibata Y., Taki K., Kurose M. et al: Emergency extracorporeal life support for patients with near-fatal status asthmaticus. Am J Emer Med. 1997;15: 566-569.

The authors declare that there are no conflicts of interest present.