Volume 39 Issue 12
Dec.  2023
Turn off MathJax
Article Contents
Gu CH,Li XM,Kang XW.A case of severe acute respiratory distress syndrome caused by inhalation injury[J].Chin J Burns Wounds,2023,39(12):1185-1189.DOI: 10.3760/cma.j.cn501225-20230818-00052.
Citation: Gu CH,Li XM,Kang XW.A case of severe acute respiratory distress syndrome caused by inhalation injury[J].Chin J Burns Wounds,2023,39(12):1185-1189.DOI: 10.3760/cma.j.cn501225-20230818-00052.

A case of severe acute respiratory distress syndrome caused by inhalation injury

doi: 10.3760/cma.j.cn501225-20230818-00052
Funds:

General Project of Social Development of Science and Technology Department of Jiangsu Province of China BE2020670

More Information
  • Corresponding author: Kang Xiuwen, Email: mafei8922@163.com
  • Received Date: 2023-08-18
    Available Online: 2023-12-19
  • A 54-year-old male patient with severe acute respiratory distress syndrome caused by inhalation injury was admitted to the First People's Hospital of Lianyungang City on June 26 th, 2022. After admission, the patient received invasive mechanical ventilation (driving pressure-guided ventilator parameter setting) combined with prone position treatment immediately, but his condition continued to deteriorate. Five hours after admission, the patient received veno-venous extracorporeal membrane oxygenation (VV-ECMO) supporting treatment, treatment based on ultra-protective lung ventilation strategy combined with prone position ventilation for more than 12 hours per day. At the same time, pulse contour cardiac output monitoring technology was used to monitor cardiac index and extravascular lung water index to guide volume management, and fiberoptic bronchoalveolar lavage was performed for several times. After that, the patient was successfully weaned from VV-ECMO and ventilator, and then discharged from hospital successfully. During follow-up of one year after the injury, the patient showed no obvious respiratory symptoms, and his lung function was basically normal.

     

  • loading
  • [1]
    PavotA,MallatJ,VangrunderbeeckN,et al.Rescue therapeutic strategy combining ultra-protective mechanical ventilation with extracorporeal CO2 removal membrane in near-fatal asthma with severe pulmonary barotraumas: a case report[J]. Medicine (Baltimore),2017,96(41):e8248.DOI: 10.1097/MD.0000000000008248.
    [2]
    中国老年医学学会烧创伤分会.吸入性损伤临床诊疗全国专家共识(2018版)[J]. 中华烧伤杂志,2018,34(11):770-775.DOI: 10.3760/cma.j.issn.1009-2587.2018.11.010.
    [3]
    BanavasiH,NguyenP,OsmanH,et al.Management of ARDS - what works and what does not[J].Am J Med Sci,2021,362(1):13-23.DOI: 10.1016/j.amjms.2020.12.019.
    [4]
    AbramsD,AgerstrandC,BeitlerJR,et al.Risks and benefits of ultra-lung-protective invasive mechanical ventilation strategies with a focus on extracorporeal support[J].Am J Respir Crit Care Med,2022,205(8):873-882.DOI: 10.1164/rccm.202110-2252CP.
    [5]
    RozencwajgS,GuihotA,FranchineauG,et al.Ultra-protective ventilation reduces biotrauma in patients on venovenous extracorporeal membrane oxygenation for severe acute respiratory distress syndrome[J].Crit Care Med,2019,47(11):1505-1512.DOI: 10.1097/CCM.0000000000003894.
    [6]
    TerragniPP,Del SorboL,MasciaL,et al.Tidal volume lower than 6 ml/kg enhances lung protection: role of extracorporeal carbon dioxide removal[J].Anesthesiology,2009,111(4):826-835.DOI: 10.1097/ALN.0b013e3181b764d2.
    [7]
    MoraesL,SilvaPL,ThompsonA,et al.Impact of different tidal volume levels at low mechanical power on ventilator-induced lung injury in rats[J].Front Physiol,2018,9:318.DOI: 10.3389/fphys.2018.00318.
    [8]
    López SanchezM.Mechanical ventilation in patients subjected to extracorporeal membrane oxygenation (ECMO)[J].Med Intensiva,2017,41(8):491-496.DOI: 10.1016/j.medin.2016.12.007.
    [9]
    Serpa NetoA,SchmidtM,AzevedoLC,et al.Associations between ventilator settings during extracorporeal membrane oxygenation for refractory hypoxemia and outcome in patients with acute respiratory distress syndrome: a pooled individual patient data analysis: mechanical ventilation during ECMO[J].Intensive Care Med,2016,42(11):1672-1684.DOI: 10.1007/s00134-016-4507-0.
    [10]
    MaX,LiangM,DingM,et al.Extracorporeal membrane oxygenation (ECMO) in critically ill patients with coronavirus disease 2019 (COVID-19) pneumonia and acute respiratory distress syndrome (ARDS)[J].Med Sci Monit,2020,26:e925364.DOI: 10.12659/MSM.925364.
    [11]
    SchmidtM,PhamT,ArcadipaneA,et al.Mechanical ventilation management during extracorporeal membrane oxygenation for acute respiratory distress syndrome. An international multicenter prospective cohort[J].Am J Respir Crit Care Med,2019,200(8):1002-1012.DOI: 10.1164/rccm.201806-1094OC.
    [12]
    İnalV,EfeS.Extracorporeal carbon dioxide removal (ECCO2R) in COPD and ARDS patients with severe hypercapnic respiratory failure. A retrospective case-control study[J].Turk J Med Sci,2021,51(4):2127-2135.DOI: 10.3906/sag-2012-151.
    [13]
    AzziM,AboabJ,AlvisetS,et al.Extracorporeal CO2 removal in acute exacerbation of COPD unresponsive to non-invasive ventilation[J].BMJ Open Respir Res,2021,8(1):e001089.DOI: 10.1136/bmjresp-2021-001089.
    [14]
    PanP,SuLX,ZhouX,et al.Critical hemodynamic therapy oriented resuscitation helping reduce lung water production and improve survival[J].Chin Med J (Engl),2019,132(10):1139-1146.DOI: 10.1097/CM9.0000000000000205.
    [15]
    SchmittJM,Vieillard-BaronA,AugardeR,et al.Positive end-expiratory pressure titration in acute respiratory distress syndrome patients: impact on right ventricular outflow impedance evaluated by pulmonary artery Doppler flow velocity measurements[J].Crit Care Med,2001,29(6):1154-1158.DOI: 10.1097/00003246-200106000-00012.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(2)

    Article Metrics

    Article views (157) PDF downloads(33) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return