Pre-Anesthesia Extracorporeal Membrane Oxygenation in Two Lung Transplant Recipients with Severe Pulmonary Hypertension
Extracorporeal membrane oxygenation (ECMO) is a widely used cardiopulmonary support method that is usually implemented after anesthesia during the period of lung transplantation (LTx). In severe pulmonary arterial hypertension (PAH) patients, however, anesthesia induction is a high-risk phase and ca...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/7265429 |
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| author | Liu Minqiang Gao Hong Chen Jingyu Wang Yanjuan Xu Bo Wang Guilong Wu Qiang Hu Chunxiao |
| author_facet | Liu Minqiang Gao Hong Chen Jingyu Wang Yanjuan Xu Bo Wang Guilong Wu Qiang Hu Chunxiao |
| author_sort | Liu Minqiang |
| collection | DOAJ |
| description | Extracorporeal membrane oxygenation (ECMO) is a widely used cardiopulmonary support method that is usually implemented after anesthesia during the period of lung transplantation (LTx). In severe pulmonary arterial hypertension (PAH) patients, however, anesthesia induction is a high-risk phase and can result in severe cardiorespiratory failure. Herein, we describe two severe PAH patients who received ECMO support before anesthesia and whose preoperative evaluations indicated that the risk was too high to safely survive the anesthesia induction period before LTx. The strategy was successful, and in both patients, hemodynamics was stable and no ECMO-related complications occurred. |
| format | Article |
| id | doaj-art-c4a62f42c605400393a660a61ba33f88 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-c4a62f42c605400393a660a61ba33f882025-02-03T01:05:17ZengWileyCase Reports in Medicine1687-96271687-96352020-01-01202010.1155/2020/72654297265429Pre-Anesthesia Extracorporeal Membrane Oxygenation in Two Lung Transplant Recipients with Severe Pulmonary HypertensionLiu Minqiang0Gao Hong1Chen Jingyu2Wang Yanjuan3Xu Bo4Wang Guilong5Wu Qiang6Hu Chunxiao7Department of Anesthesiology, The Third People’s Hospital of Shenzhen, No. 29 Bulan Road, Longgang District, Shenzhen, Guangdong 518112, ChinaDepartment of Anesthesiology, Wuxi People’s Hospital, 299 Qingyang Road, Liangxi District, Wuxi, Jiangsu 214023, ChinaDepartment of Lung Transplantation Center, Wuxi People’s Hospital, 299 Qingyang Road, Liangxi District, Wuxi, Jiangsu 214023, ChinaDepartment of Anesthesiology, Wuxi People’s Hospital, 299 Qingyang Road, Liangxi District, Wuxi, Jiangsu 214023, ChinaDepartment of Anesthesiology, Wuxi People’s Hospital, 299 Qingyang Road, Liangxi District, Wuxi, Jiangsu 214023, ChinaDepartment of Anesthesiology, Wuxi People’s Hospital, 299 Qingyang Road, Liangxi District, Wuxi, Jiangsu 214023, ChinaDepartment of Anesthesiology, The Third People’s Hospital of Shenzhen, No. 29 Bulan Road, Longgang District, Shenzhen, Guangdong 518112, ChinaDepartment of Anesthesiology, Wuxi People’s Hospital, 299 Qingyang Road, Liangxi District, Wuxi, Jiangsu 214023, ChinaExtracorporeal membrane oxygenation (ECMO) is a widely used cardiopulmonary support method that is usually implemented after anesthesia during the period of lung transplantation (LTx). In severe pulmonary arterial hypertension (PAH) patients, however, anesthesia induction is a high-risk phase and can result in severe cardiorespiratory failure. Herein, we describe two severe PAH patients who received ECMO support before anesthesia and whose preoperative evaluations indicated that the risk was too high to safely survive the anesthesia induction period before LTx. The strategy was successful, and in both patients, hemodynamics was stable and no ECMO-related complications occurred.http://dx.doi.org/10.1155/2020/7265429 |
| spellingShingle | Liu Minqiang Gao Hong Chen Jingyu Wang Yanjuan Xu Bo Wang Guilong Wu Qiang Hu Chunxiao Pre-Anesthesia Extracorporeal Membrane Oxygenation in Two Lung Transplant Recipients with Severe Pulmonary Hypertension Case Reports in Medicine |
| title | Pre-Anesthesia Extracorporeal Membrane Oxygenation in Two Lung Transplant Recipients with Severe Pulmonary Hypertension |
| title_full | Pre-Anesthesia Extracorporeal Membrane Oxygenation in Two Lung Transplant Recipients with Severe Pulmonary Hypertension |
| title_fullStr | Pre-Anesthesia Extracorporeal Membrane Oxygenation in Two Lung Transplant Recipients with Severe Pulmonary Hypertension |
| title_full_unstemmed | Pre-Anesthesia Extracorporeal Membrane Oxygenation in Two Lung Transplant Recipients with Severe Pulmonary Hypertension |
| title_short | Pre-Anesthesia Extracorporeal Membrane Oxygenation in Two Lung Transplant Recipients with Severe Pulmonary Hypertension |
| title_sort | pre anesthesia extracorporeal membrane oxygenation in two lung transplant recipients with severe pulmonary hypertension |
| url | http://dx.doi.org/10.1155/2020/7265429 |
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