Time limited trialにてveno–venous extracorporeal membrane oxygenation（V–V ECMO）管理を行った1例(Case of veno–venous extracorporeal membrane oxygenation (V–V ECMO) in a time–limited trial)

Key Points

• This case aims to explore the effectiveness of implementing a time-limited trial (TLT) for managing V-V ECMO in a patient with lung cancer and respiratory distress.
• A 70-year-old male with lung cancer underwent multiple surgeries due to complications.
• A time-limited trial was established prior to initiating V-V ECMO to determine treatment continuation or palliative care.
• ECMO withdrawal trials were conducted at specific intervals, post-treatment evaluations were performed.
• ECMO withdrawal attempts on days 8, 18, and 21 were unsuccessful, indicating difficulties in the patient's respiratory state.
• Palliative care transition was facilitated after setting the TLT, allowing for a more compassionate end-of-life approach.
• The patient was confirmed deceased on day 24 following ECMO withdrawal as per the planned palliative care guidelines.