Catastrophic respiratory failure from tuberculosis pneumonia: Survival after prolonged extracorporeal membrane oxygenation support

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dc.contributor.authorAndresen Hernández, Max
dc.contributor.authorTapia, P.
dc.contributor.authorMercado, M.
dc.contributor.authorBugedo Tarraza, Guillermo
dc.contributor.authorBravo, S.
dc.contributor.authorRegueira Heskia, Tomás
dc.date.accessioned2020-01-14T01:06:49Z
dc.date.available2020-01-14T01:06:49Z
dc.date.issued2013
dc.description.abstractTuberculosis (TB) is an uncommon cause of severe respiratory failure, even in highly endemic regions. Mortality in cases requiring mechanical ventilation (MV) varies between 60 and 90%. The use of extracorporeal membrane oxygenation (ECMO) is not frequently needed in TB. We report the case of a 24 year old woman diagnosed with bilateral pneumonia that required MV and intensive care, patient was managed with prone ventilation for 48 h, but persisted in refractory hypoxemia. Etiological study was only positive for mycobacterium tuberculosis. As a rescue therapy arterio-venous extracorporeal CO2 removal was started and lased for 4 days, but fails to support the patient due to greater impairment of oxygenation. Veno-venous ECMO was then initiated, thus normalizes gas exchanged and allows lungs to rest. ECMO was maintained for 36 days, with two episodes of serious complication treated successfully. Given the absence of clinical improvement and the lack of nosocomial infection, at 42-day of ICU stay methylprednisolone 250 mg daily for 4 days was started, since secondary organizing pneumonia associated with TB was suspected. Thereafter progressive improvement in pulmonary mechanics and reduction of pulmonary opacities was observed, allowing the final withdrawal of ECMO. Percutaneous tracheostomy was performed and the patient remained connected until her transfer to her base hospital at day 59 of admission to our unit. The tracheostomy was removed prior to hospital discharge, and the patient is today at home. Prolonged ECMO support is a useful and potentially successful tool in catastrophic respiratory failure caused by TB.
dc.fechaingreso.objetodigital2024-07-17
dc.format.extent3 páginas
dc.fuente.origenFacultad de Medicina
dc.identifier.doi10.1016/j.rmcr.2013.06.004
dc.identifier.issn2213-0071
dc.identifier.urihttps://doi.org/10.1016/j.rmcr.2013.06.004
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/27434
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final22
dc.pagina.inicio19
dc.revistaRespiratory Medicine Case Reportses_ES
dc.rightsacceso abierto
dc.subjectAcute respiratory failurees_ES
dc.subjectExtracorporeal membrane oxygenationes_ES
dc.subjectMecanical ventilationes_ES
dc.subjectTuberculosis|Mmethylprednisolone|Aadultes_ES
dc.subjectAPACHEes_ES
dc.subjectArticlees_ES
dc.subjectCase reportes_ES
dc.subjectComputer assisted tomographyes_ES
dc.subjectExtracorporeal oxygenationes_ES
dc.subjectFemalees_ES
dc.subjectHumanes_ES
dc.subjectLimit of detectiones_ES
dc.subjectLung compliancees_ES
dc.subjectLung lavagees_ES
dc.subjectLung mechanicses_ES
dc.subjectMycobacterium tuberculosises_ES
dc.subjectOrganizing pneumoniaes_ES
dc.subjectOxygenatores_ES
dc.subjectPneumothoraxes_ES
dc.subjectPositive end expiratory pressurees_ES
dc.subjectPriority journales_ES
dc.subjectRespiratory failurees_ES
dc.subjectSedationes_ES
dc.subjectSequential Organ Failure Assessment Scorees_ES
dc.subjectSteroid therapyes_ES
dc.subjectSurvivales_ES
dc.subjectThorax radiographyes_ES
dc.subjectTidal volumees_ES
dc.subjectTracheostomyes_ES
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleCatastrophic respiratory failure from tuberculosis pneumonia: Survival after prolonged extracorporeal membrane oxygenation supportes_ES
dc.typeartículo
dc.volumenVol. 10
sipa.codpersvinculados54274
sipa.codpersvinculados18889
sipa.codpersvinculados60490
sipa.codpersvinculados1015696
sipa.codpersvinculados18434
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