VV ECMO in acute respiratory failure

Case contributed by Vikas Shah
Diagnosis almost certain

Presentation

Severe acute pneumonia

Patient Data

Age: 30 years
Gender: Female

Diffuse bilateral airspace opacification. Appropriately positioned endotracheal tube. Dual lumen VV ECMO catheter with tip in IVC.

Case Discussion

Acute respiratory failure secondary to severe pneumonia such as in this case may sometimes be managed by using extracorporeal membrane oxygenation (ECMO). This is a venovenous ECMO catheter, with two separate lumens for venous drainage and return of oxygenated blood.

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