Continuation of Extracorporeal Membrane Oxygenation Support After Multiple Failed Lung Transplantations

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Abstract

This report describes the clinical course of a patient who in sequence had 2 failed orthotopic lung transplants. After each transplant, she required extended periods of circulatory support via extracorporeal membrane oxygenation (ECMO). The patient was never able to be weaned from ECMO. In the end she developed extensive multisystem organ failure and expired 45 days after the initial attempt at transplantation after spending the entire postoperative time on ECMO. The family, ethical, and sociopolitical issues raised by the extended course of care for this patient are discussed.

Original languageEnglish (US)
Pages (from-to)91-96
Number of pages6
JournalICU Director
Volume3
Issue number2
DOIs
StatePublished - Mar 1 2012

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Keywords

  • bridge
  • ECMO
  • ethics
  • lung transplantation
  • multisystem organ failure

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Management Science and Operations Research
  • Critical Care

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