Case Reports in Medicine / 2019 / Article / Tab 1 / Case Report
Application of Hybrid Extracorporeal Membrane Oxygenation for the Treatment of Subsequent Shock following Acute Respiratory Distress Syndrome Developing after Firearm Injury Table 1 Clinical parameters of the patient.
After the intubation Before the V-V ECMO Before the V-A-V ECMO Disconnection from V-A-V ECMO Ventilation parameters TV (ml/kg) 6–8 6 6 6–8 PEEP (cmH2 O) 5 12–14 8–10 6 PIP (cmH2 O) 22 38 32 26 FiO2 0.4–0.6 1 0.4 0.4 Inotropes (mcg/kg/min) Adrenaline 0.05 0.1 0.10 0.05 Noradrenaline 0.05 0.05 0.20 0.1 Milrinone 0.5 Dobutamine 5 Blood gas analysis pH N 7.24 7.26–7.40 N PaCO2 (mmHg) N 86 N PaO2 (mmHg) 86 53 Lactate (mmol/L) 1.8–2.7 3.6–5.2 16–20 N Urinary output (ml/kg/h) 1–3 0.3–1 0.2–1 2-3 Prone position and recruitment maneuvers No Yes No No
ECMO: extracorporeal membrane oxygenation, V-V: veno-venous, V-A-V: veno-arterio-venous, TV: tidal volume, PEEP: positive end-expiratory pressure, PIP: peak inspirium pressure, FiO2 : fractional inspired oxygen, PaO2 : partial oxygen pressure, PaCO2 : partial carbon dioxide pressure, and N: normal.