Akciğer Kanseri Cerrahisi Sonrası Akut Solunum Sıkıntısı Sendromunda Ekstrakorporeal Membran Oksijenasyon Kullanımı; Olgu Sunumu

Öz

Akciğer rezeksiyonu sonrası akut solunum sıkıntısı sendromu ARDS gelişmesi nadiren görülen ölümcül bir komplikasyondur. Ekstrakorporeal membran oksijenasyon ECMO , özellikle mekanik ventilasyon uygulaması ile olumlu yanıt alınamayan ARDS olgularında yeterli doku oksijenasyonu sağlamak amacıyla kullanılan bir tedavi yaklaşımıdır. Bu olgu sunumunda, akciğer kanseri nedeniyle mediastinoskopi, sağ üst lobektomi, mediastinal disseksiyon ve surrenal eksizyonu yapılan, postoperatif dönemde ARDS gelişen ve ECMO ile başarılı bir şekilde tedavi edilen olguyu sunduk

Anahtar Kelimeler

• Akciğer kanseri, Akut solunum sıkıntısı sendromu (ARDS), Ekstrakorporeal

Extracorporeal Membrane Oxygenation Use in Acute Respiratory Distress Syndrome after Lung Cancer Surgery; Case Report

Abstract

Acute respiratory distress syndrome ARDS after lung resection is a rare and fatal complication. Extracorporeal membrane oxygenation ECMO is a therapy modality used to maintain adequate tissue oxygenation in ARDS cases that are nonresponsive to mechanical ventilation. In this case report, we report a case that underwent mediastinoscopy, right upper lobectomy, mediastinal dissection and surrenalectomy due to lung cancer, developed ARDS in the postoperative period, and successfully recovered with ECMO

Keywords

• Lung cancer, Acute respiratory distress syndrome (ARDS), Extracorporeal membrane

Kaynakça

1. Kutlu CA, Willimas EA, Evans TW, Pastorina U, Goldstraw P. Acute lung injury and acute respiratory distress syndrome after pulmonary resection. Ann Thorac Surg 2000; 69:376-80.
2. Tang SSK, Retmond K, Griffiths M, Ladas G, Goldstraw P, Dusmet M. The mortality from acute respiratory distress syndrome after pulmonary resection is reducing: A 10- year single institutional experience. Eur J Cardiothorac Surg 2008; 34:898-902.
3. Dulu A, Pastores SM, Park B, Riedel E, Rush V, Halpern NA. Prevalence and mortality of acute lung injury and ARDS after lung resection. Chest 2006; 130:73-8.
4. Dünsar M, Hasibeder W, Rieger M, Mayr AJ. Successful therapy of severe pneumonia-associated ARDS after pneumonectomy with ECMO and steroids. Ann Thorac Surg 2004; 78:335-7.
5. Iglesias M, Martinez E, Badia JR, Macchiarini P. Extrapulmonary ventilation for unresponsive severe acute respiratory distress syndrome after pulmonary resection. Ann Thorac Surg 2008; 85:237-44.
6. Iglesias M, Jungebluth P, Petit C, Matute MP, Rovira I, Martínez E, Catalan M, Ramirez J, Macchiarini P. Extrapulmonary lung membrane provides better lung protection than conventionel treatment for severe postpneumonectomy noncardiogenic acute respiratory distress syndrome. J Thorac Cardiovasc Surg 2008; 135:1362-71.
7. Şen S, Şentürk E, Kuman NK. Postresectional lung injury in thoracic surgery pre and intraoperative risk factors: A retrospective clinical study of hundred forty-three cases. J Cardiothorac Surg 2010; 5:62-8.
8. Akkanti B, Rajagopal K, Patel KP, Aravind S, Nunez- Centanu E, Hussain R, Shabari FR, Hofstetter WL, Vaporciyan AA, Banjac IS, Kar B, Gregoric ID, Loyalka P. Low-flow extracorporeal carbon dioxide removal using the hemolung respiratory dialysis system® to facilitate lung-protective mechanical ventilation in acute respiratory distress syndrome. J Extra Corpor Technol 2017; 49(2):112-4.