Therapeutic hypothermia as an adjunct to extracorporeal membrane oxygenation for acute respiratory distress and refractory hypoxemia

Perfusion. 2019 Jul;34(5):422-424. doi: 10.1177/0267659118822941. Epub 2019 Jan 10.

Abstract

Legionella community-acquired pneumonia necessitating veno-venous extracorporeal membrane oxygenation for severe acute respiratory distress syndrome has been reported in adults. However, few options remain in cases of refractory hypoxemia on veno-venous extracorporeal membrane oxygenation. Herein, we describe adjunctive extended therapeutic hypothermia for refractory hypoxemia despite veno-venous extracorporeal membrane oxygenation for successful management of severe acute respiratory distress syndrome secondary to Legionella.

Keywords: Legionella pneumonia; Legionnaires’ disease; adult respiratory distress syndrome; extracorporeal membrane oxygenation; therapeutic hypothermia.

Publication types

  • Case Reports

MeSH terms

  • Extracorporeal Membrane Oxygenation / methods*
  • Humans
  • Hypothermia, Induced / methods*
  • Hypoxia / therapy*
  • Male
  • Middle Aged
  • Respiratory Distress Syndrome / therapy*
  • Treatment Outcome