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KMID : 0383820070630060526
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Tuberculosis and Respiratory Diseases
2007 Volume.63 No. 6 p.526 ~ p.530
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A Case of Severe Acute Respiratory Distress Syndrome Treated with Extracorporeal Life Support
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Kim Young-Mook
Lee Jue-Yong
Lee Myung-Goo
Lee Chang-Youl
Kim Go-Woon
Son Kyeong-Min
Yang Ha-Na
Kim Dae-Yong
Choi Hyun-Hee
Kim Hyung-Soo
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Abstract
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The incidence of acute respiratory distress syndrome (ARDS) has been estimated worldwide to range from 1.7 to 75 cases per 100,000. There are many treatments for ARDS, but only the low tidal volume strategy is based on strong clinical evidence from randomized clinical trials. The efficacy of extracorporeal life support (ECLS) in adults remains controversial. Ongoing clinical trials and research have shown a benefit for its use to salvage severe ARDS patients that are in failure with conventional treatment. We encountered a 41-year-old woman who developed ARDS induced by pneumococcal pneumonia. Despite conventional mechanical ventilation in the emergency room, severe hypoxia remained. We treated the patient immediately with ECLS. The patient has almost fully recovered, and was discharged from a 177-day stay at our hospital.
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KEYWORD
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Acute respiratory distress syndrome, Extracorporeal Life support
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