January 1, 2013Journal of Korean Medical ScienceOpen Access

Extracorporeal Membrane Oxygenation for Acute Life-Threatening Neurogenic Pulmonary Edema following Rupture of an Intracranial Aneurysm

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Why the study?

Does venovenous extracorporeal membrane oxygenation (ECMO) improve survival and allow for neurosurgical intervention in patients with life-threatening fulminant neurogenic pulmonary edema after subarachnoid hemorrhage?

Population

n=1, 28-year-old woman with life-threatening fulminant neurogenic pulmonary edema refractory to conventional…

Design

Case_report

Follow-up

3 months

Authors

GHGyojun HwangBundang Jesaeng Hospital SSSeung Hun SheenCHA Bundang Medical Center HKHyoung Soo KimSacred Heart Hospital

Discussion

Member takes

Implication

May support ECMO rescue for refractory neurogenic pulmonary edema post-SAH; single case leaves open need for prospective validation.

Structured PICO

Population

n=1, 28-year-old woman with life-threatening fulminant neurogenic pulmonary edema (NPE) refractory to conventional respiratory treatment following rupture of an anterior communicating artery aneurysm.

Intervention

Venovenous extracorporeal membrane oxygenation (ECMO) with nafamostat mesilate as anticoagulant, initiated at 4.5 L/min, maintained for 7 days, along with hypothermia (34°C).

Outcome

Survival and neurological recovery (Glasgow outcome scale and modified Rankin scale scores)hard clinical

ECMO can be a successful life-saving rescue therapy for patients with fulminant neurogenic pulmonary edema following subarachnoid hemorrhage, allowing for necessary neurosurgical interventions.

Cite This Study

Hwang et al. (2013) studied this question.

synapsesocial.com/papers/6a998f64c1da79a4e354c943 https://doi.org/10.3346/jkms.2013.28.6.962

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