Successful therapy of severe pneumonia-associated ARDS after pneumonectomy with ECMO and steroids

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Abstract

Pneumonia and acute respiratory distress syndrome are life-threatening complications after pneumonectomy carrying high mortality. Because pulmonary reserve is inadequately low, an effective therapeutic strategy is needed to treat hypoxia. Extracorporeal membrane oxygenation is a highly effective method to reverse hypoxia in patients with acute respiratory distress syndrome, but has only once been described in a patient with postpneumonectomy pulmonary edema. We report a case of successful extracorporeal membrane oxygenation therapy in a patient with pneumonia-associated acute respiratory distress syndrome after pneumonectomy. Methylprednisolone therapy caused a dramatic improvement of pulmonary and systemic organ function. © 2004 by The Society of Thoracic Surgeons.

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Dünser, M., Hasibeder, W., Rieger, M., & Mayr, A. J. (2004). Successful therapy of severe pneumonia-associated ARDS after pneumonectomy with ECMO and steroids. Annals of Thoracic Surgery, 78(1), 335–337. https://doi.org/10.1016/S0003-4975(03)01264-5

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