Successful Use of Extracorporeal Life Support after Double Traumatic Tracheobronchial Injury in a Patient with Severe Acute Asthma

We report the case of an asthmatic patient with blunt trachea and left main bronchus injuries who developed acute severe asthma after surgical repair. Despite medical treatment and ventilatory support, asthma persisted with high airway pressures and severe respiratory acidosis. We proposed venovenou...

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Main Authors: Xavier Valette, Aurélie Desjouis, Massimo Massetti, Jean-Luc Hanouz, Philippe Icard
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Pulmonary Medicine
Online Access:http://dx.doi.org/10.1155/2011/936240
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author Xavier Valette
Aurélie Desjouis
Massimo Massetti
Jean-Luc Hanouz
Philippe Icard
author_facet Xavier Valette
Aurélie Desjouis
Massimo Massetti
Jean-Luc Hanouz
Philippe Icard
author_sort Xavier Valette
collection DOAJ
description We report the case of an asthmatic patient with blunt trachea and left main bronchus injuries who developed acute severe asthma after surgical repair. Despite medical treatment and ventilatory support, asthma persisted with high airway pressures and severe respiratory acidosis. We proposed venovenous extracorporeal life support for CO2 removal which allowed arterial blood gas normalization and airway pressures decrease. Extracorporeal life support was removed on day five after medical treatment of acute severe asthma. So we report the successful use of extracorporeal life support for operated double blunt tracheobronchial injury with acute severe asthma.
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institution Kabale University
issn 2090-1836
2090-1844
language English
publishDate 2011-01-01
publisher Wiley
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series Pulmonary Medicine
spelling doaj-art-c68bc8c208f94b028bd2d79e4ebb33b52025-02-03T07:25:59ZengWileyPulmonary Medicine2090-18362090-18442011-01-01201110.1155/2011/936240936240Successful Use of Extracorporeal Life Support after Double Traumatic Tracheobronchial Injury in a Patient with Severe Acute AsthmaXavier Valette0Aurélie Desjouis1Massimo Massetti2Jean-Luc Hanouz3Philippe Icard4Department of Anesthesia and Intensive Care, Centre Hospitalier Régional et Université de Caen Basse Normandie, Avenue Cote de Nacre, 14033 CAEN Cedex, FranceDepartment of Thoracic and Cardiovascular Surgery, Centre Hospitalier Régional et Université de Caen Basse Normandie, Avenue Cote de Nacre, 14033 CAEN Cedex, FranceDepartment of Thoracic and Cardiovascular Surgery, Centre Hospitalier Régional et Université de Caen Basse Normandie, Avenue Cote de Nacre, 14033 CAEN Cedex, FranceDepartment of Thoracic and Cardiovascular Surgery, Centre Hospitalier Régional et Université de Caen Basse Normandie, Avenue Cote de Nacre, 14033 CAEN Cedex, FranceDepartment of Thoracic and Cardiovascular Surgery, Centre Hospitalier Régional et Université de Caen Basse Normandie, Avenue Cote de Nacre, 14033 CAEN Cedex, FranceWe report the case of an asthmatic patient with blunt trachea and left main bronchus injuries who developed acute severe asthma after surgical repair. Despite medical treatment and ventilatory support, asthma persisted with high airway pressures and severe respiratory acidosis. We proposed venovenous extracorporeal life support for CO2 removal which allowed arterial blood gas normalization and airway pressures decrease. Extracorporeal life support was removed on day five after medical treatment of acute severe asthma. So we report the successful use of extracorporeal life support for operated double blunt tracheobronchial injury with acute severe asthma.http://dx.doi.org/10.1155/2011/936240
spellingShingle Xavier Valette
Aurélie Desjouis
Massimo Massetti
Jean-Luc Hanouz
Philippe Icard
Successful Use of Extracorporeal Life Support after Double Traumatic Tracheobronchial Injury in a Patient with Severe Acute Asthma
Pulmonary Medicine
title Successful Use of Extracorporeal Life Support after Double Traumatic Tracheobronchial Injury in a Patient with Severe Acute Asthma
title_full Successful Use of Extracorporeal Life Support after Double Traumatic Tracheobronchial Injury in a Patient with Severe Acute Asthma
title_fullStr Successful Use of Extracorporeal Life Support after Double Traumatic Tracheobronchial Injury in a Patient with Severe Acute Asthma
title_full_unstemmed Successful Use of Extracorporeal Life Support after Double Traumatic Tracheobronchial Injury in a Patient with Severe Acute Asthma
title_short Successful Use of Extracorporeal Life Support after Double Traumatic Tracheobronchial Injury in a Patient with Severe Acute Asthma
title_sort successful use of extracorporeal life support after double traumatic tracheobronchial injury in a patient with severe acute asthma
url http://dx.doi.org/10.1155/2011/936240
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