One hundred forty six days on extracorporeal membrane oxygenation (ECMO): Our longest ECMO run

Abstract

Introduction: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) provides the respiratory support in acute severe respiratory failure until the underlying acute lung pathology improves. VV-ECMO support for. Aim of the work: We describe our experience in the management of the longest ECMO run in our center. Methods: A 17 years old Male patient who had only vague past medical history of recurrent abdominal pain for 5 years. Patient was admitted with severe ARDS that failed to improve with conventional ventilation, Murray Lung Injury Score was 3.5, RESP score was 1, underwent Veno-venous (V-V) ECMO via femoro-atrial approach using Maquet Cardio help console. The ECMO run duration was 146 days. Patient suffered from several complications during the ECMO run such as pulmonary hemorrhage, Acute cor pulmonale, thrombocytopenia and convulsions. Results: Patient expired on ECMO day 146 with refractory septic shock even after shifting to VAV ECMO support. Conclusion: Prolonged ECMO therapy poses its unique challenges. Multidisciplinary team management plays fundamental role during management of prolonged ECMO therapy. Keywords: ARDS, ECMO, Shock, Thrombocytopenia, Cor pulmonale