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

Gu Caihong; Li Xiaomin; Kang Xiuwen

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

Volume 39 Issue 12

Dec. 2023

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Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2023 > 39(12): 1185-1189

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.

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.

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

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

Department of Critical Care Medicine, the First People's Hospital of Lianyungang City, Lianyungang 222002, China

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

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Corresponding author: Kang Xiuwen, Email: mafei8922@163.com
Received Date: 2023-08-18
Available Online: 2023-12-19

Abstract

Abstract

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.
- Burns, inhalation,
- Extracorporeal membrane oxygenation,
- Acute respiratory distress syndrome,
- Ultra-protective lung ventilation strategy

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References

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

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

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

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