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Ann Thorac Surg 1996;62:885-887
© 1996 The Society of Thoracic Surgeons

Case Report

Clinical Use of Extracorporeal Lung Assist for a Patient in Status Asthmaticus

Masahito Sakai, MD, Hitoshi Ohteki, MD, Kazuyosi Doi, MD, Yasusi Narita, CE

Department of Cardiovascular Surgery, Saga Prefectural Hospital Koseikan, Saga, Japan

Accepted for publication April 5, 1996.

A 23-year-old man was transferred to our hospital in an unconscious state due to hypercapnea with massive subcutaneous emphysema secondary to status asthmaticus. Mechanical ventilation was ineffective for removal of carbon dioxide and oxygenation. After the initiation of extracorporeal lung assist the patient was able to effectively clear his secretions. This resulted in marked improvement in his pulmonary compliance. There were no hemorrhagic pulmonary or hematologic complications. This is the first patient in whom we have used venovenous bypass in the treatment of status asthmaticus.






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Copyright © 1996 by The Society of Thoracic Surgeons.