{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T04:27:07Z","timestamp":1727065627863},"reference-count":10,"publisher":"California Digital Library (CDL)","issue":"4","license":[{"start":{"date-parts":[[2021,9,2]],"date-time":"2021-09-02T00:00:00Z","timestamp":1630540800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Extracorporeal membrane oxygenation (ECMO) has been well described as a viable option for patients in need of temporary supplemental oxygenation when ventilator capabilities have failed to augment a patient\u2019s condition. Less described is the potential use of ECMO for lung protection in the setting of gigantic bullae despite initially adequate oxygenation.\nCase Report: We describe how the early incorporation of ECMO in a patient with coronavirus disease 2019 and necrotizing pneumonia complicated by multiple large and gigantic bullae led to a favorable outcome.\nConclusion: The decision to start ECMO early, despite room for ventilator oxygenation adjustments, may have helped to prevent potential, significant complications such as tension pneumothorax while on positive pressure, thus potentially optimizing the outcome in this patient.<\/jats:p>","DOI":"10.5811\/cpcem.2021.6.52898","type":"journal-article","created":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T06:04:12Z","timestamp":1637301852000},"page":"425-428","source":"Crossref","is-referenced-by-count":2,"title":["Early Extracorporeal Membrane Oxygenation in COVID-19 with Bullous Lung Disease on Mechanical Ventilation: A Case Report"],"prefix":"10.5811","volume":"5","author":[{"given":"Jason","family":"Unold","sequence":"first","affiliation":[{"name":"Detroit Receiving Hospital, Department of Emergency Medicine, Detroit, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon","family":"Marshal","sequence":"additional","affiliation":[{"name":"Detroit Receiving Hospital, Department of Emergency Medicine, Detroit, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tolupe","family":"Sonuyi","sequence":"additional","affiliation":[{"name":"Detroit Receiving Hospital, Department of Emergency Medicine, Detroit, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2021,9,2]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"McRae K and de Perrot M. Principles and indications of extracorporeal life support in general thoracic surgery. J Thorac Dis. 2018;10(Suppl 8):S931-S46.","DOI":"10.21037\/jtd.2018.03.116"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Brenner M, O\u2019Connor JV, Scalea TM. Use of ECMO for resection of post-traumatic ruptured lung abscess with empyema. Ann Thorac Surg. 2010;90(6):2039-41.","DOI":"10.1016\/j.athoracsur.2010.01.085"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Redwan B, Biancosino C, Giebel F, et al. Perioperative single-site veno-venous extracorporeal CO2 removal for minimally invasive giant bulla resection. Perfusion. 2017;32(8):698-701.","DOI":"10.1177\/0267659117716758"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Redwan B, Ziegeler S, Freermann S, et al. Intraoperative veno-venous extracorporeal lung support in thoracic surgery: a single-centre experience. Interact Cardiovasc Thorac Surg. 2015;21(6):766-72.","DOI":"10.1093\/icvts\/ivv253"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Oey IF, Peek GJ, Firmin RK, et al. Post-pneumonectomy video-assisted thoracoscopic bullectomy using extra-corporeal membrane oxygenation. Eur J Cardiothorac Surg. 2001;20(4):874-6.","DOI":"10.1016\/s1010-7940(01)00896-x"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Peek GJ, Mugford M, Tiruvoipati R, et al. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial.\u00a0The Lancet. 2009;374(9698):1351-63.","DOI":"10.1016\/s0140-6736(09)61069-2"},{"key":"ref6","unstructured":"Hu BS, Z Hu, Jiang LX, et al. Extracorporeal membrane oxygenation (ECMO) in patients with COVID-19: a rapid systematic review of case studies.\u00a0Eur Rev Med Pharmacol Sci. 2020;24(22):11945-52."},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Ohata M and Suzuki H. Pathogenesis of spontaneous pneumothorax. With special reference to the ultrastructure of emphysematous bullae. Chest. 1980;77(6):771-6.","DOI":"10.1378\/chest.77.6.771"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Brower RG, Matthay MA, Morris A, et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000;342(18):1301-8.","DOI":"10.1056\/nejm200005043421801"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"MacDuff A, Arnold A, Harvey J. BTS Pleural Disease Guideline Group. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010;65 Suppl 2:ii18-ii31.","DOI":"10.1136\/thx.2010.136986"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T06:06:02Z","timestamp":1637301962000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/7kr6z6fg"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,2]]},"references-count":10,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,11,10]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2021.6.52898","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2021,9,2]]}}}