| |
著者: Pilar Anton-Martin, Pallav Bhattarai, Peter Rycus, Lakshmi Raman, Renee Potera
雑誌名: J Emerg Med. 2019 May;56(5):523-529. doi: 10.1016/j.jemermed.2019.01.036. Epub 2019 Mar 14.
Abstract/Text
BACKGROUND: Foreign body aspiration (FBA) is a common cause of morbidity and mortality in children < 3 years of age. Guidelines recommend performing a bronchoscopy in any suspected or confirmed FBA. Extracorporeal membrane oxygenation (ECMO) can be used as a rescue mode of support in children with life-threatening FBA for stabilization before, during, and after removal.
CASE REPORT: We present a series of children with life-threatening FBA who were placed on ECMO for stabilization before or after FB removal and a review of the literature and the Extracorporeal Life Support Organization database. Foreign bodies were removed without complications, and all patients survived ECMO support and were promptly discharged home. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: ECMO can be safely used in the stabilization of children with life-threatening FBA before, during, and after bronchoscopic removal. ECMO should be considered in the stabilization of children presenting with FBA to facilitate removal.
Copyright © 2019. Published by Elsevier Inc.
PMID 30879854 J Emerg Med. 2019 May;56(5):523-529. doi: 10.1016/j.jemermed.2019.01.036. Epub 2019 Mar 14.
|
