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Favorable outcome with early initiation of VV-ECMO for unilateral lung disease in children
Ganatra, Hammad A. Shamim, Daniah Farnan, Angela Deshpande, Girish
Ganatra, Hammad A.
Shamim, Daniah
Farnan, Angela
Deshpande, Girish
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Abstract
Unilateral lung diseases such as unilateral pneumonia, trauma or pulmonary hemorrhage can cause profound
hypoxemic respiratory failure necessitating mechanical ventilation. These disorders are characterized by marked
asymmetry in lung mechanics, with the affected lung having a lower compliance compared to the healthier lung,
and management involves complex strategies such as simultaneous independent lung ventilation. However, such
strategies can be challenging in pediatric populations due to technical limitations, and also lead to ventilator
induced lung injury. We report two unique cases that support the use of venovenous extracorporeal membrane
oxygenation as an alternative strategy for management of unilateral lung disease in children.
Description
A grant from the One-University Open Access Fund at the University of Kansas was used to defray the author's publication fees in this Open Access journal. The Open Access Fund, administered by librarians from the KU, KU Law, and KUMC libraries, is made possible by contributions from the offices of KU Provost, KU Vice Chancellor for Research & Graduate Studies, and KUMC Vice Chancellor for Research. For more information about the Open Access Fund, please see http://library.kumc.edu/authors-fund.xml.
Date
2019-01-01
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Elsevier
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Keywords
Unliateral lung disease, Pediatric, ECMO, Extracorporeal membrane oxygenation, Ventilator induced lung injury, Lung protection