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

Nobuyuki Nosaka, Shingo Ichiba, Kohei Tsukahara, Emily Knaup, Kumiko Hayashi, Shingo Kasahara, Yoshinori Kobayashi, Makio Oka, Katsuhiro Kobayashi, Harumi Yoshinaga, Yoshihito Ujike

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Extracorporeal membrane oxygenation (ECMO) is now a candidate therapy for children with acute respiratory failure. Case presentation: 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. Conclusion: 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.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalBMC Pediatrics
DOIs
Publication statusAccepted/In press - Apr 1 2015

Fingerprint

Extracorporeal Membrane Oxygenation
Adult Respiratory Distress Syndrome
Cerebrovascular Circulation
Pneumothorax
Respiratory Insufficiency
Japan
Seizures
Therapeutics
Catheters
Pediatrics
Lung

Keywords

  • Acute respiratory distress syndrome (ARDS)
  • Extracorporeal membrane oxygenation (ECMO)
  • Pediatrics
  • Severe epileptic disorder

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Acute respiratory distress syndrome in a child with severe epileptic disorder treated successfully by extracorporeal membrane oxygenation : A case report. / Nosaka, Nobuyuki; Ichiba, Shingo; Tsukahara, Kohei; Knaup, Emily; Hayashi, Kumiko; Kasahara, Shingo; Kobayashi, Yoshinori; Oka, Makio; Kobayashi, Katsuhiro; Yoshinaga, Harumi; Ujike, Yoshihito.

In: BMC Pediatrics, 01.04.2015, p. 1-4.

Research output: Contribution to journalArticle

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AU - Hayashi, Kumiko

AU - Kasahara, Shingo

AU - Kobayashi, Yoshinori

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