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Experience in the use of extracorporeal membrane oxygenation in the treatment of severe viral and bacterial pneumonia

https://doi.org/10.22625/2072-6732-2020-12-2-156-160

Abstract

The virus associated community-acquired pneumonia during seasonal influenza has a variety of appearances, and the clinical picture can range from asymptomatic infection to severe pneumonia with respiratory failure, acute respiratory distress syndrome, septic shock, multi-organ failure. Nowadays modern pulmonary support technologies are used to treat them, extracorporeal membrane oxygenation in particular. The article presents a clinical case of severe virusassociated bacterial pneumonia of a progressive course with severe respiratory failure (III) and developed pulmonary edema. The method of extracorporeal membrane oxygenation was used in the treatment, as there was a steady negative dynamic against the background of intensive therapy. The treatment algorithm from the patient’s first call to a pulmonologist and transfer to an intensive care unit using extracorporeal membrane oxygenation is presented in the clinical case.

About the Authors

E. A. Borodulina
Samara State Medical University
Russian Federation
Samara



Yu. V. Bogdanova
Samara State Medical University; Samara Regional Clinical Hospital named after V.D. Seredavin
Russian Federation
Samara



B. E. Borodulin
Samara State Medical University
Russian Federation
Samara



L. V. Povalyaeva
Samara State Medical University; Samara City Hospital № 4
Russian Federation
Samara



E. S. Vdoushkina
Samara State Medical University
Russian Federation
Samara



Ya. E. Shirobokov
Samara State Medical University
Russian Federation
Samara



References

1. Hlavinkova L., Kristufkova Z., Mikas J. Risk factors for severe outcome of cases with pandemic influenza A(H1N1)pdm09 // Bratisl. Lek. Listy. 2015. 116(6). P. 89–393.

2. Sen A., Callisen H.E., Alwardt C.M. et al. Adult venovenous extracorporeal membrane oxygenation for severe respiratory failure: Current status and future perspectives // Ann. Card. Anaesth. 2016. Vol. 19 (1). P. 97–111.

3. Koh Y. Update in acute respiratory distress syndrome // J. Intensive Care. 2014. Vol. 2 (1). P. 2.

4. Wiesen J., Joshi D., Guzman J.A., Duggal A. Critical illness associated with 2013–2014 influenza A(H1N1): Postpandemic characteristics, presentation and outcomes // Indian J. Crit. Care Med. 2015 Vol. 19 (11). P. 636–641.

5. Polushin Ju. S., Hrapov K. N., Majskaja M. Ju., Dikarev K. V. Virusnaja pnevmonija grippa (H1N1), oslozhnennaja ORDS // General resuscitation. 2010. Vol.3. P. 15–22.

6. Svetlickaja O.I., Sirosh Ju.A., Blatun V.P., Kanus I.I. Risk razvitija ostrogo respiratornogo distress-sindroma u pacientov s vnegospital’nymi virusno-bakterial’nymi pnevmonijami // Emergency Medicine. 2018. T. 7. Vol. 4. P. 564–569.

7. Honore P.M., Jacobs R., Joannes-Boyau O. et al. Newly designed CRRT membranes for sepsis and SIRS — a pragmatic approach for bedside intensivists summarizing the more recent advances: a systematic structured review // ASAIO J. 2013. Vol. 59. P. 99–106

8. Pham T., Combes A., Roze H. et al. Extracorporeal membrane oxygenation for pandemic influenza A(H1N1)-induced acute respiratory distress syndrome: a cohort study and propensity-matched analysis // Am. J. Respir. Crit. CareMed. 2013. Vol.187(3). P. 276–285.

9. Borodulin B.E., Stadler V.V., Chernogaeva G.Ju., Borodulina E.A. Vedenie bol’nyh s ostrym porazheniem legochnoj tkani i respiratornym distress-sindromom v period jepidemii grippa. 2015. 142 p.

10. Borodulina E.A., Borodulin B.E., Povaljaeva L.V., Chernogaeva G.Ju., Vdoushkina E.S. Prediktory letal’nosti ot vnebol’nichnoj pnevmonii v sovremennyh uslovijah raboty pul’monologicheskogo centra // Bulletin of modern clinical medicine. 2015. Vol.4. P. 19–22.

11. Kut’kin D.V. Osobennosti rentgenologicheskoj kartiny u bol’nyh virusno-bakterial’noj pnevmoniej i prognozirovanie riska ostrogo respiratornogo distress-sindroma // Russian Medical Journal. Medical Review. 2016. Vol.3. P. 144–147.

12. Rjadnov A.A. Prognosticheski znachimaja vozmozhnost’ spiral’noj komp’juternoj tomografii dlja vyjavlenija pozdnih morfologicheskih izmenenij legochnoj tkani u lic molodogo vozrasta, perenesshih tjazheluju virusno-bakterial’nuju pnevmoniju // News of the Russian Military Medical Academy. 2019. Vol. 1. P. 98-99.

13. Shukevich D.L., Plotnikov G.P., Shukevich L.E., i dr. Opyt lechenija sezonnogo grippa, oslozhnennogo virusnobakterial’nymi pnevmonijami: mnogocentrovoe retrospektivnoe issledovanie // Herald of Intensive Care. 2016. Vol. 2. P. 46–50.

14. Richard C., Argaud L., Blet A. Extracorporeal life support for patients with acute respiratory distress syndrome: report of a Consensus Conference // AnnalsofIntensiveCare. 2014. Vol. 4. P.15.

15. Volchkov V.A., Larin D.G., Titova O.N., i dr. Intensivnaja terapija tjazheloj virusno-bakterial’noj pnevmonii v period jepidemii grippa 2016g. v Sankt-Peterburge // Medical Alliance. 2018. Vol.4. P. 25–30.

16. Popugaev K.A., Gubarev K.K., Krugljakov N.M.Opyt primenenija jekstrakorporal’noj membrannoj oksigenacii dlja lechenija respiratornogo distress-sindroma v uslovijah specializirovannogo JeKMO-centra. Klinicheskaja i jeksperimental’naja hirurgija // Journal named after academician B.V. Petrovsky. 2017. Vol.1 (15). P. 68–77.

17. Sergeeva I.V., Demko I.V., Korchagin E.E. Analiz letal’nyh ishodov u pacientov s tjazhjolym techeniem vnebol’nichnoj pnevmonii na fone grippa A (H1N1) PDM09 // Kazan Medical Journal. 2017. Vol.4. P. 551–557.

18. Keckalo M.V., Nechaev D.S., Moskalenko O.O., Rogova L.V., Kal’janova N.Ju. Ispol’zovanie metoda JeKMO v kompleksnoj terapii tjazhelogo ORDS, oslozhnivshegosja razvitiem pnevmotoraksa. Klinicheskie sluchai // Medical alphabet. 2018. Vol.18 (355). P. 29–34.

19. Vozgoment O.V., Gorkovec K.I. Opyt ispol’zovanija JeKMO v lechenii tjazheloj dvustoronnej destruktivnoj pnevmonii // Difficult patient. 2018. Vol.12. P. 36–40.


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For citations:


Borodulina E.A., Bogdanova Yu.V., Borodulin B.E., Povalyaeva L.V., Vdoushkina E.S., Shirobokov Ya.E. Experience in the use of extracorporeal membrane oxygenation in the treatment of severe viral and bacterial pneumonia. Journal Infectology. 2020;12(2):156-160. (In Russ.) https://doi.org/10.22625/2072-6732-2020-12-2-156-160

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