SrdaDecubitusV1, Main, Exploration, bibRecord, 000085

Extracorporeal Membrane Oxygenation for Refractory Severe Respiratory Failure in Acute Interstitial Pneumonia.

Identifieur interne : 000085 ( Main/Exploration ); précédent : 000084; suivant : 000086

Extracorporeal Membrane Oxygenation for Refractory Severe Respiratory Failure in Acute Interstitial Pneumonia.

Auteurs : Gabriela Gonçalves-Venade [Portugal] ; Nuno Lacerda-Príncipe [Portugal] ; Roberto Roncon-Albuquerque [Portugal] ; José Artur Paiva [Portugal]

Source :

Artificial organs [ 1525-1594 ] ; 2018.

RBID : pubmed:29323413

Descripteurs français

English descriptors

KwdEn :
- Adult (MeSH), Extracorporeal Membrane Oxygenation (methods), Female (MeSH), Humans (MeSH), Lung (pathology), Lung Diseases, Interstitial (complications), Lung Diseases, Interstitial (diagnosis), Lung Diseases, Interstitial (pathology), Lung Diseases, Interstitial (therapy), Male (MeSH), Middle Aged (MeSH), Pneumonia (complications), Pneumonia (diagnosis), Pneumonia (pathology), Pneumonia (therapy), Prone Position (MeSH), Respiration, Artificial (methods), Respiratory Insufficiency (complications), Respiratory Insufficiency (diagnosis), Respiratory Insufficiency (pathology), Respiratory Insufficiency (therapy).
MESH :
- complications : Lung Diseases, Interstitial, Pneumonia, Respiratory Insufficiency.
- diagnosis : Lung Diseases, Interstitial, Pneumonia, Respiratory Insufficiency.
- methods : Extracorporeal Membrane Oxygenation, Respiration, Artificial.
- pathology : Lung, Lung Diseases, Interstitial, Pneumonia, Respiratory Insufficiency.
- therapy : Lung Diseases, Interstitial, Pneumonia, Respiratory Insufficiency.
- Adult, Female, Humans, Male, Middle Aged, Prone Position.

Abstract

Acute interstitial pneumonia (AIP) is a rare idiopathic interstitial lung disease with rapid progressive respiratory failure and high mortality. In the present report, three cases of AIP complicated by refractory respiratory failure supported with extracorporeal membrane oxygenation (ECMO) are presented. One male and two female patients (ages 27-59) were included. Venovenous ECMO support was provided using miniaturized systems, with two-site femoro-jugular circuit configuration. Despite lung protective ventilation, prone position and neuromuscular blockade, refractory respiratory failure of unknown etiology supervened (ratio of arterial oxygen partial pressure to fractional inspired oxygen 46-130) and ECMO was initiated after 3-7 days of mechanical ventilation. AIP diagnosis was established after exclusion of infectious and noninfectious acute respiratory distress syndrome on the basis of clinical and analytical data, bronchoalveolar lavage analysis and lung imaging, with a confirmatory surgical lung biopsy revealing diffuse alveolar damage of unknown etiology. Immunosuppressive treatment consisted in high-dose corticosteroids and cyclophosphamide in one case. Two patients survived to hospital discharge. ECMO allowed AIP diagnosis and treatment in the presence of refractory respiratory failure, therefore reducing ventilator-induced lung injury and bridging lung recovery in two patients. ECMO referral should be considered in refractory respiratory failure if AIP is suspected.

DOI: 10.1111/aor.13075
PubMed: 29323413

Affiliations:

Portugal

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000087
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Le document en format XML

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<term>Extracorporeal Membrane Oxygenation (methods)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Lung (pathology)</term>
<term>Lung Diseases, Interstitial (complications)</term>
<term>Lung Diseases, Interstitial (diagnosis)</term>
<term>Lung Diseases, Interstitial (pathology)</term>
<term>Lung Diseases, Interstitial (therapy)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pneumonia (complications)</term>
<term>Pneumonia (diagnosis)</term>
<term>Pneumonia (pathology)</term>
<term>Pneumonia (therapy)</term>
<term>Prone Position (MeSH)</term>
<term>Respiration, Artificial (methods)</term>
<term>Respiratory Insufficiency (complications)</term>
<term>Respiratory Insufficiency (diagnosis)</term>
<term>Respiratory Insufficiency (pathology)</term>
<term>Respiratory Insufficiency (therapy)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Décubitus ventral (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Insuffisance respiratoire (anatomopathologie)</term>
<term>Insuffisance respiratoire (complications)</term>
<term>Insuffisance respiratoire (diagnostic)</term>
<term>Insuffisance respiratoire (thérapie)</term>
<term>Mâle (MeSH)</term>
<term>Oxygénation extracorporelle sur oxygénateur à membrane (méthodes)</term>
<term>Pneumopathie infectieuse (anatomopathologie)</term>
<term>Pneumopathie infectieuse (complications)</term>
<term>Pneumopathie infectieuse (diagnostic)</term>
<term>Pneumopathie infectieuse (thérapie)</term>
<term>Pneumopathies interstitielles (anatomopathologie)</term>
<term>Pneumopathies interstitielles (complications)</term>
<term>Pneumopathies interstitielles (diagnostic)</term>
<term>Pneumopathies interstitielles (thérapie)</term>
<term>Poumon (anatomopathologie)</term>
<term>Ventilation artificielle (méthodes)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Insuffisance respiratoire</term>
<term>Pneumopathie infectieuse</term>
<term>Pneumopathies interstitielles</term>
<term>Poumon</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lung Diseases, Interstitial</term>
<term>Pneumonia</term>
<term>Respiratory Insufficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lung Diseases, Interstitial</term>
<term>Pneumonia</term>
<term>Respiratory Insufficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Insuffisance respiratoire</term>
<term>Pneumopathie infectieuse</term>
<term>Pneumopathies interstitielles</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Extracorporeal Membrane Oxygenation</term>
<term>Respiration, Artificial</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Oxygénation extracorporelle sur oxygénateur à membrane</term>
<term>Ventilation artificielle</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lung</term>
<term>Lung Diseases, Interstitial</term>
<term>Pneumonia</term>
<term>Respiratory Insufficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lung Diseases, Interstitial</term>
<term>Pneumonia</term>
<term>Respiratory Insufficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Insuffisance respiratoire</term>
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<term>Pneumopathies interstitielles</term>
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<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prone Position</term>
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<term>Adulte d'âge moyen</term>
<term>Décubitus ventral</term>
<term>Femelle</term>
<term>Humains</term>
<term>Insuffisance respiratoire</term>
<term>Mâle</term>
<term>Pneumopathie infectieuse</term>
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<front><div type="abstract" xml:lang="en">Acute interstitial pneumonia (AIP) is a rare idiopathic interstitial lung disease with rapid progressive respiratory failure and high mortality. In the present report, three cases of AIP complicated by refractory respiratory failure supported with extracorporeal membrane oxygenation (ECMO) are presented. One male and two female patients (ages 27-59) were included. Venovenous ECMO support was provided using miniaturized systems, with two-site femoro-jugular circuit configuration. Despite lung protective ventilation, prone position and neuromuscular blockade, refractory respiratory failure of unknown etiology supervened (ratio of arterial oxygen partial pressure to fractional inspired oxygen 46-130) and ECMO was initiated after 3-7 days of mechanical ventilation. AIP diagnosis was established after exclusion of infectious and noninfectious acute respiratory distress syndrome on the basis of clinical and analytical data, bronchoalveolar lavage analysis and lung imaging, with a confirmatory surgical lung biopsy revealing diffuse alveolar damage of unknown etiology. Immunosuppressive treatment consisted in high-dose corticosteroids and cyclophosphamide in one case. Two patients survived to hospital discharge. ECMO allowed AIP diagnosis and treatment in the presence of refractory respiratory failure, therefore reducing ventilator-induced lung injury and bridging lung recovery in two patients. ECMO referral should be considered in refractory respiratory failure if AIP is suspected.</div>
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<DateCompleted><Year>2018</Year>
<Month>10</Month>
<Day>15</Day>
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<Month>10</Month>
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<JournalIssue CitedMedium="Internet"><Volume>42</Volume>
<Issue>5</Issue>
<PubDate><Year>2018</Year>
<Month>May</Month>
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<Title>Artificial organs</Title>
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<Abstract><AbstractText>Acute interstitial pneumonia (AIP) is a rare idiopathic interstitial lung disease with rapid progressive respiratory failure and high mortality. In the present report, three cases of AIP complicated by refractory respiratory failure supported with extracorporeal membrane oxygenation (ECMO) are presented. One male and two female patients (ages 27-59) were included. Venovenous ECMO support was provided using miniaturized systems, with two-site femoro-jugular circuit configuration. Despite lung protective ventilation, prone position and neuromuscular blockade, refractory respiratory failure of unknown etiology supervened (ratio of arterial oxygen partial pressure to fractional inspired oxygen 46-130) and ECMO was initiated after 3-7 days of mechanical ventilation. AIP diagnosis was established after exclusion of infectious and noninfectious acute respiratory distress syndrome on the basis of clinical and analytical data, bronchoalveolar lavage analysis and lung imaging, with a confirmatory surgical lung biopsy revealing diffuse alveolar damage of unknown etiology. Immunosuppressive treatment consisted in high-dose corticosteroids and cyclophosphamide in one case. Two patients survived to hospital discharge. ECMO allowed AIP diagnosis and treatment in the presence of refractory respiratory failure, therefore reducing ventilator-induced lung injury and bridging lung recovery in two patients. ECMO referral should be considered in refractory respiratory failure if AIP is suspected.</AbstractText>
<CopyrightInformation>© 2018 International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.</CopyrightInformation>
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<ForeName>Gabriela</ForeName>
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<AffiliationInfo><Affiliation>Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal.</Affiliation>
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</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Medicine, Faculty of Medicine, University of Porto, Porto, Portugal.</Affiliation>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D011014" MajorTopicYN="N">Pneumonia</DescriptorName>
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<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016684" MajorTopicYN="N">Prone Position</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012121" MajorTopicYN="N">Respiration, Artificial</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D012131" MajorTopicYN="N">Respiratory Insufficiency</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">-Acute respiratory distress syndrome</Keyword>
<Keyword MajorTopicYN="N">-Acute respiratory failure</Keyword>
<Keyword MajorTopicYN="N">-Extracorporeal membrane oxygenation</Keyword>
<Keyword MajorTopicYN="N">Acute interstitial pneumonia</Keyword>
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<Month>07</Month>
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<name sortKey="Paiva, Jose Artur" sort="Paiva, Jose Artur" uniqKey="Paiva J" first="José Artur" last="Paiva">José Artur Paiva</name>
<name sortKey="Paiva, Jose Artur" sort="Paiva, Jose Artur" uniqKey="Paiva J" first="José Artur" last="Paiva">José Artur Paiva</name>
<name sortKey="Roncon Albuquerque, Roberto" sort="Roncon Albuquerque, Roberto" uniqKey="Roncon Albuquerque R" first="Roberto" last="Roncon-Albuquerque">Roberto Roncon-Albuquerque</name>
<name sortKey="Roncon Albuquerque, Roberto" sort="Roncon Albuquerque, Roberto" uniqKey="Roncon Albuquerque R" first="Roberto" last="Roncon-Albuquerque">Roberto Roncon-Albuquerque</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Sante/explor/SrdaDecubitusV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000085 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000085 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Sante
   |area=    SrdaDecubitusV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:29323413
   |texte=   Extracorporeal Membrane Oxygenation for Refractory Severe Respiratory Failure in Acute Interstitial Pneumonia.
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:29323413" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a SrdaDecubitusV1

This area was generated with Dilib version V0.6.37.
Data generation: Tue Oct 6 08:17:07 2020. Site generation: Sat Mar 27 13:26:33 2021

	Serveur d'exploration SDRA et décubitus ventral
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration SDRA et décubitus ventral

Extracorporeal Membrane Oxygenation for Refractory Severe Respiratory Failure in Acute Interstitial Pneumonia.

Extracorporeal Membrane Oxygenation for Refractory Severe Respiratory Failure in Acute Interstitial Pneumonia.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki