Experience in the use of extracorporeal membrane oxygenation in the treatment of severe viral and bacterial pneumonia

Abstract

The virus associated community-acquired pneumonia during seasonal influenza has a variety of appearances, and the clinical picture can range from asymptomatic infection to severe pneumonia with respiratory failure, acute respiratory distress syndrome, septic shock, multi-organ failure. Nowadays modern pulmonary support technologies are used to treat them, extracorporeal membrane oxygenation in particular. The article presents a clinical case of severe virusassociated bacterial pneumonia of a progressive course with severe respiratory failure (III) and developed pulmonary edema. The method of extracorporeal membrane oxygenation was used in the treatment, as there was a steady negative dynamic against the background of intensive therapy. The treatment algorithm from the patient’s first call to a pulmonologist and transfer to an intensive care unit using extracorporeal membrane oxygenation is presented in the clinical case.

Keywords

• extracorporeal membrane oxygenation
• respiratory distress syndrome
• mechanical ventilation
• pneumonia
• respiratory failure