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Kim, Lee, Lee, Lee, Kim, Sohn, Yang, Kim, Choi, and Kim: A Case of Severe Acute Respiratory Distress Syndrome Treated with Extracorporeal Life Support
Case Report
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2007; 63(6): 526-530.

Published online: 31 December 2007

DOI: https://doi.org/10.4046/trd.2007.63.6.526

A Case of Severe Acute Respiratory Distress Syndrome Treated with Extracorporeal Life Support

Young Mook Kim, M.D.1, Jue Yong Lee, M.D.1, Myung-Goo Lee, M.D.1, Chang Youl Lee, M.D.1, Go Woon Kim, M.D.1, Kyoung Min Sohn, M.D.1, Ha Na Yang, M.D.1, Dae Yong Kim, M.D.1, Hyun Hee Choi, M.D.1, Hyoung Soo Kim, M.D.2

1Department of Internal Medicine, Hallym University School of Medicine, Chuncheon, Korea.

2Department of Thoracic and Cardiovascular Surgery, Hallym University School of Medicine, Chuncheon, Korea.

Address for correspondence: Myung-Goo Lee, M.D. Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University School of Medicine, 153, Gyo-dong, Chuncheon 200-704, Korea. Phone: 82-33-240-5812, Fax: 82-33-255-4291, mglee@hallym.or.kr

Received 28 September 2007       Accepted 1 November 2007

Copyright © 2007 The Korean Academy of Tuberculosis and Respiratory Diseases

Abstract

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.

Keywords: Acute respiratory distress syndrome, Extracorporeal life support

Figures and Tables

Figure 1
Chest PA at (A) admission and (B) discharge.
trd-63-526-g001
Figure 2
Veno-venous extracorporeal membrane oxygenation.
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Figure 3
Change of PaO2/FiO2 and PEEP (positive end-expiratory pressure).
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Table 1
The indications for extracorporeal life support
trd-63-526-i001

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