A report of four cases of acute, severe pulmonary hemorrhage in infancy and support with extracorporeal membrane oxygenation
Title
A report of four cases of acute, severe pulmonary hemorrhage in infancy and support with extracorporeal membrane oxygenation
Creator
Siden HB; Sanders GM; Moler FW
Identifier
Publisher
Pediatric Pulmonology
Date
1994
Subject
Female; Humans; Male; Extracorporeal Membrane Oxygenation; Respiration; Severity of Illness Index; Acute Disease; infant; Artificial; Hemorrhage/complications/therapy; Lung Diseases/complications/therapy; Respiratory Insufficiency/etiology/therapy
Description
Introduction
Pulmonary hemorrhage is an uncommon event in infants. It has been described most commonly in the sick premature neonate, older child, or adolescent with chronic cardiopulmonary disease. Acute idiopathic pulmonary hemorrhage in previously healthy infants has, to our knowledge, been reported only rarely. During the past 5 years we have successfully treated 4 infants with sever respiratory failure secondary to acute idiopathic pulmonary hemorrhage. Two of these patients were managed with the conventional therapy of mechanical ventilation, while the other two were successfully managed with extracorporeal membrane oxygenation (ECMO) after failure of conventional mechanical ventilation. In this report we review the current literature on this unusual pediatric problem and describe the use of ECMO as a modality in supporting patients after an acute pulmonary hemorrhage.
Pulmonary hemorrhage is an uncommon event in infants. It has been described most commonly in the sick premature neonate, older child, or adolescent with chronic cardiopulmonary disease. Acute idiopathic pulmonary hemorrhage in previously healthy infants has, to our knowledge, been reported only rarely. During the past 5 years we have successfully treated 4 infants with sever respiratory failure secondary to acute idiopathic pulmonary hemorrhage. Two of these patients were managed with the conventional therapy of mechanical ventilation, while the other two were successfully managed with extracorporeal membrane oxygenation (ECMO) after failure of conventional mechanical ventilation. In this report we review the current literature on this unusual pediatric problem and describe the use of ECMO as a modality in supporting patients after an acute pulmonary hemorrhage.
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Type
Journal Article
Citation List Month
Backlog
URL Address
Collection
Citation
Siden HB; Sanders GM; Moler FW, “A report of four cases of acute, severe pulmonary hemorrhage in infancy and support with extracorporeal membrane oxygenation,” Pediatric Palliative Care Library, accessed April 19, 2024, https://pedpalascnetlibrary.omeka.net/items/show/12325.