Acta Medica Okayama 71巻 6号
2017-12 発行

Severe Acute Respiratory Distress Syndrome Using Electrical Activity of the Diaphragm on Weaning from Extracorporeal Membrane Oxygenation

Okahara, Shuji Department of Anesthesiology and Resuscitology, Okayama University Hospital
Shimizu, Kazuyoshi Department of Anesthesiology and Resuscitology, Okayama University Hospital
Morimatsu, Hiroshi Department of Anesthesiology and Resuscitology, Okayama University Hospital
Publication Date
2017-12
Abstract
The electrical activity of the diaphragm (EAdi) shows global diaphragmatic activation and power output from the central nervous system. We measured the EAdi as an indicator of breathing workload in a 40-year-old man suffering from severe acute respiratory distress syndrome (ARDS) secondary to influenza pneumonia in the process of weaning from extracorporeal membrane oxygenation (ECMO). Turning off the sweep gas flow immediately led to EAdi elevation, followed by hypoxia. The patient was successfully weaned from ECMO by reference to EAdi. This is the first case report to suggest that EAdi monitoring might be useful for ARDS patients during ECMO weaning.
Document Type
Case Report
Keywords
electrical activity of the diaphragm
breathing workload
respiratory extracorporeal membrane oxygenation
acute respiratory distress syndrome
Link to PubMed
Thumnail 71_6_543.pdf 2.32 MB