Acute respiratory distress syndrome in a child with severe epileptic disorder treated successfully by extracorporeal membrane oxygenation: a case report

Extracorporeal membrane oxygenation (ECMO) is now a candidate therapy for children with acute respiratory failure. We report our experience of using central ECMO therapy for acute respiratory distress syndrome followed by seizure in a 15-month-old girl with a severe epileptic disorder. Her respirato...

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Bibliographic Details
Published in:BMC pediatrics 2015-04, Vol.15 (1), p.29-29, Article 29
Main Authors: Nosaka, Nobuyuki, Ichiba, Shingo, Tsukahara, Kohei, Knaup, Emily, Hayashi, Kumiko, Kasahara, Shingo, Kobayashi, Yoshinori, Oka, Makio, Kobayashi, Katsuhiro, Yoshinaga, Harumi, Ujike, Yoshihito
Format: Article
Language:English
Subjects:
Case Report
Epilepsy - complications
Extracorporeal Membrane Oxygenation
Female
High-Frequency Ventilation - adverse effects
Humans
Infant
Pneumothorax - etiology
Respiratory Insufficiency - complications
Respiratory Insufficiency - therapy
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Summary:Extracorporeal membrane oxygenation (ECMO) is now a candidate therapy for children with acute respiratory failure. We report our experience of using central ECMO therapy for acute respiratory distress syndrome followed by seizure in a 15-month-old girl with a severe epileptic disorder. Her respiratory distress was refractory to standard medical treatment and mechanical ventilatory support. Her condition was complicated by development of a pneumothorax. The patient was successfully weaned off ECMO and discharged without deterioration of her neurological status. The successful outcome in this case resulted from the central ECMO, which enabled "lung rest" and adequate cerebral blood flow. In skilled ECMO facilities, early implementation of ECMO would give some advantages to patients such as the one presented here. Given the invasiveness and the ease of the procedure, introduction of dual-lumen catheters adequately sized for pediatric patients in Japan is required.
ISSN:1471-2431
1471-2431
DOI:10.1186/s12887-015-0348-1