Complicated course of pneumonia in a patient requiring extracorporeal membrane oxygenation

Czech version

Authors: Jakub Jonáš; Samuel Mičica; Petr Pavlíček
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, 2. lékařská fakulta, Univerzita Karlova a Fakultní nemocnice v Motole, Praha
Published in: Čes-slov Pediat 2025; 80 (1): 15-19.
Category: Case Report
doi: https://doi.org/10.55095/CSPediatrie2025/002

Overview

Jonáš J, mičica s, pavlíček p. Complicated course of pneumonia in a patient requiring extracorporeal membrane oxygenation

Respiratory failure remains one of the most common reasons leading to hospitalization in paediatric intensive care units. the aetiology of this condition is quite broad, however, lower respiratory tract infections predominate as the main triggering factor. the treatment of respiratory insufficiency includes support or replacement of lung function by oxygen therapy, non-invasive and invasive mechanical ventilation, and procedures such as inhaled nitric oxide or prone positioning. in situations where these methods fail, extracorporeal life support is necessary. in the following case report, we discuss the complicated course of pneumonia in a patient whose condition required connection to extracorporeal membrane oxygenation and was complicated by development of septic shock, massive bleeding and renal failure.

Keywords:

mechanical ventilation – Pneumococcus – Respiratory failure – Respiratory syncytial virus – bleeding – sepsis – extracorporeal membrane oxygenation – disseminated intravascular coagulation

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