Abstract:
:We report the first successful use of venovenous extracorporeal membrane oxygenation (ECMO) for refractory respiratory failure in an infant with DiGeorge anomaly, following thymus transplantation. A 23-month-old female with complete immune-incompetent DiGeorge anomaly 65 days after allogenic thymus transplantation was treated in our pediatric intensive care unit for acute respiratory failure secondary to bacterial sepsis. She subsequently developed acute hypercarbic respiratory failure unresponsive to conventional medical therapy. She was successfully managed with venovenous ECMO for 4 days, with complete resolution of her respiratory symptoms. This case demonstrates the complex decision making process regarding initiation of ECMO in patients with severe immunodeficiency.
journal_name
Respir Carejournal_title
Respiratory careauthors
Hornik CP,Hartman ME,Markert ML,Lodge AJ,Cheifetz IM,Turner DAdoi
10.4187/respcare.01051subject
Has Abstractpub_date
2011-06-01 00:00:00pages
866-70issue
6eissn
0020-1324issn
1943-3654pii
rc01051r2hornikjournal_volume
56pub_type
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