{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:42:24Z","timestamp":1760132544573},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orvosi Hetilap"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:p> Abstract: <\/jats:p><jats:p> The mortality of severe ARDS is almost 60%. Ventilation-associated lung-injury can be avoided by low-pressure, low-volume ventilation. Potential use of ECMO in case of refractory hypoxemia beside modern ventilatory therapy can be considered. Increasing numbers of respiratory ECMO runs are seen worldwide, though the efficacy remains controversial. The authors present the first successful venovenous-ECMO treatment in severe ARDS in our Institute. We report the case of a 67-year-old male who was admitted with community-acquired pneumonia caused by Legionella. Despite empirical and later targeted antibiotic therapy, severe ARDS with sepsis evolved. Neither ventilation nor prone position resulted in permanent improvement in oxygenation. The patient was referred to our Institute for extracorporeal life support (ECLS) therapy. On admission, blood gas showed severe hypoxemia with mild hypercapnia (PaO<jats:sub>2<\/jats:sub>\/FiO<jats:sub>2<\/jats:sub>: 60, pCO<jats:sub>2<\/jats:sub>: 53 mmHg at PEEP: 14 mmHg, PIP: 45 mmHg). X-ray showed bilateral patchy infiltrates while cardiac impairment (EF: 45%) and dilated right ventricle were seen on echocardiography. Elevated pulmonary artery pressure (mPAP: 41 mmHg) was measured. After implantation of femoral-jugular VV ECMO, oxygen saturation was appropriate with lung protective ventilation (FiO<jats:sub>2<\/jats:sub>: 0.5, TV: 3\u20134 ml\/kg). Improving lung function enabled us to stop ECMO after 8 days and further 5 days later the patient was weaned off ventilation. After 21 days of intensive care we discharged him to the referral hospital. By reporting this case we emphasise the potential role of respiratory ECMO. Consideration should be given to increase the contingent of this modality in the Hungarian intensive care in accordance with international practice. Orv Hetil. 2019; 160(6): 235\u2013240. <\/jats:p>","DOI":"10.1556\/650.2019.31285","type":"journal-article","created":{"date-parts":[[2019,2,7]],"date-time":"2019-02-07T15:27:43Z","timestamp":1549553263000},"page":"235-240","source":"Crossref","is-referenced-by-count":5,"title":["Sikeres extracorporalis membr\u00e1noxigeniz\u00e1ci\u00f3s (ECMO-)                     kezel\u00e9s <i>Legionella<\/i>-pneumoni\u00e1ban"],"prefix":"10.1556","volume":"160","author":[{"given":"Ildik\u00f3","family":"Madurka","sequence":"first","affiliation":[{"name":"Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly,                         Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet Budapest, R\u00e1th Gy. u. 7\u20139., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"Bart\u00f3k","sequence":"additional","affiliation":[{"name":"Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly,                         Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet Budapest, R\u00e1th Gy. u. 7\u20139., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krisztina","family":"Kormos\u00f3i-T\u00f3th","sequence":"additional","affiliation":[{"name":"Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly,                         Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet Budapest, R\u00e1th Gy. u. 7\u20139., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u00f3ra","family":"Sch\u00f6nauer","sequence":"additional","affiliation":[{"name":"Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly,                         Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet Budapest, R\u00e1th Gy. u. 7\u20139., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jen\u0151","family":"Elek","sequence":"additional","affiliation":[{"name":"Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly,                         Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet Budapest, R\u00e1th Gy. u. 7\u20139., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilona","family":"Bobek","sequence":"additional","affiliation":[{"name":"K\u00f6zponti Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Betegell\u00e1t\u00f3                     Oszt\u00e1ly, D\u00e9l-pesti Centrumk\u00f3rh\u00e1z \u2013 Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"language":"hu","link":[{"URL":"https:\/\/www.akademiai.com\/doi\/pdf\/10.1556\/650.2019.31285","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,26]],"date-time":"2019-04-26T06:57:53Z","timestamp":1556261873000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akademiai.com\/doi\/10.1556\/650.2019.31285"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1556\/650.2019.31285"],"URL":"https:\/\/doi.org\/10.1556\/650.2019.31285","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2]]}}}