[Use of ECMO as a salvage therapy for refractory hypoxia secondary to a Lemierre's syndrome].

Abstract

We reported the case of a young adult with a Lemierre syndrome, which was complicated by septic shock and ARDS. Because of rapid onset of a life-threatening hypoxemia (PaO(2)/FiO(2)=60) in the course of the ARDS despite mechanical ventilation, ECMO was started with jugular and femoral cannulas, as rescue therapy. Good control of hypoxemia was obtained and ECMO was set up for six days. No significant complication was observed. The course was nevertheless complicated by acute renal failure and a pleural fistula that necessitated separate-lung ventilation during 24 hours. After 48 days left in the ICU, the patient was sent to a rehabilitation unit.

• Authors: A-C Carre, J-S David, A Mahr, C Flamens, P Fuster, O Bastien
• Journal: Annales francaises d'anesthesie et de reanimation (Ann Fr Anesth Reanim) Vol. 30 Issue 6 Pg. 512-5 (Jun 2011) ISSN: 1769-6623 [Electronic] France
• Vernacular Title: Utilisation de l'ECMO comme technique de sauvetage d'une hypoxémie réfractaire compliquant un syndrome de Lemierre.
• PMID: 21493033 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2011 Elsevier Masson SAS. All rights reserved.

Topics

• Acute Kidney Injury (complications)
• Blood Gas Analysis
• Densitometry
• Extracorporeal Membrane Oxygenation (methods)
• Female
• Hemodynamics (physiology)
• Humans
• Hypoxia (etiology, therapy)
• Lemierre Syndrome (complications, therapy)
• Pleural Diseases (complications)
• Respiration, Artificial
• Respiratory Distress Syndrome (complications, therapy)
• Salvage Therapy (methods)
• Shock, Septic (complications, therapy)
• Young Adult