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| ファイル | 記述 | サイズ | フォーマット | |
|---|---|---|---|---|
| s40981-022-00505-8.pdf | 977.47 kB | Adobe PDF | 見る/開く |
| タイトル: | Successful lung-protective ventilatory management during the VV-ECMO in a severe COVID-19 pneumonia patient with extensive pneumomediastinum and subcutaneous emphysema: a case report |
| 著者: | Kohara, Jumpei Kai, Shinichi Hashimoto, Kazuya Takatani, Yudai   Tanabe, Naoya  https://orcid.org/0000-0002-7481-0212 (unconfirmed)Hamada, Satoshi Cho, Kosai https://orcid.org/0000-0003-1599-5971 (unconfirmed)Tanaka, Tomoharu Ito, Isao https://orcid.org/0000-0003-3109-898X (unconfirmed)Ohtsuru, Shigeru https://orcid.org/0000-0002-6747-9859 (unconfirmed) |
| 著者名の別形: | 小原, 淳平 甲斐, 慎一 橋本, 一哉 田辺, 直也 髙谷, 悠大 濱田, 哲 趙, 晃済 田中, 具治 伊藤, 功朗 大鶴, 繁 |
| キーワード: | COVID-19 Pneumomediastinum/subcutaneous emphysema Veno-venous extracorporeal membrane oxygenation Lung-protective ventilation |
| 発行日: | 2022 |
| 出版者: | Springer Nature |
| 誌名: | JA Clinical Reports |
| 巻: | 8 |
| 論文番号: | 12 |
| 抄録: | BACKGROUND: Ventilatory management of respiratory failure with pneumomediastinum/subcutaneous emphysema is not established. Herein, we report a case of severe COVID-19 pneumonia with extensive pneumomediastinum/subcutaneous emphysema, rescued by thorough lung-protective ventilatory management after applying the VV-ECMO. CASE PRESENTATION: A 68-year-old male with no medical history was admitted to a local hospital and diagnosed with COVID-19 pneumonia. His pulmonary parameters worsened during invasive ventilation due to the development of pneumomediastinum/subcutaneous emphysema, and then he was transferred to our hospital. On arrival, we immediately decided to apply VV-ECMO and switch to ultraprotective ventilation. After maintaining the initial ventilation with a neuromuscular blocking agent for 2 days, we gradually increased PEEP while limiting PIP to 25 cmH2O. The patient was weaned off VV-ECMO on day 10; he was transferred to the medical ward after extubation. CONCLUSIONS: Lung-protective ventilatory management should be performed thoroughly during VV-ECMO in severe COVID-19 pneumonia with pneumomediastinum/subcutaneous emphysema. |
| 著作権等: | © The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. |
| URI: | http://hdl.handle.net/2433/278468 |
| DOI(出版社版): | 10.1186/s40981-022-00505-8 |
| PubMed ID: | 35190916 |
| 出現コレクション: | 学術雑誌掲載論文等 |
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