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Korean J Crit Care Med > Volume 27(2); 2012 > Article
Korean Journal of Critical Care Medicine 2012;27(2): 108-110. doi: https://doi.org/10.4266/kjccm.2012.27.2.108
침습적 기계환기로도 호전이 되지 않는 치료불응성 천식 환자에서 Interventional Lung Assist를 적용한 1예 -증례 보고-
이영석ㆍ주혜진*ㆍ문재영*ㆍ허진원*ㆍ오연목*ㆍ임채만*ㆍ고윤석*ㆍ홍상범*
Young Seok Lee, M.D., Hyejin Joo, M.D.*, Jae Young Moon, M.D.*, Jin Won Huh, M.D.*, Yeon-Mok Oh, M.D.*, Chae-Man Lim, M.D.*, Younsuck Koh, M.D.* and Sang-Bum Hong, M.D.*
A Case of iLA Application in a Patient with Refractory Asthma Who Is Nonresponsive to Conventional Mechanical Ventilation: A Case Report
Young Seok Lee, Hyejin Joo, Jae Young Moon, Jin Won Huh, Yeon Mok Oh, Chae Man Lim, Younsuck Koh, Sang Bum Hong
1Division of Plumonary and Critical Care Medicine, Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
2Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. sbhong@amc.seoul.kr
ABSTRACT
Refractory asthma with hypercapnia is a near-fatal disease. Pumpless Extracorporeal Interventional Lung Assist (iLA) may be considered as an alternative therapy for the disease as it removes the carbon dioxide effectively. Nevertheless, clinical outcome studies regarding iLA in patients suffering from refractory asthma have rarely been applied. Here, we reported our experience with iLA for the treatment of refractory asthma with hypercapnia. In our case, the patient had refractory asthma which was not controlled with medical treatment or mechanical ventilation. We applied iLA since hypercapnia was not resolved despite mechanical ventilation. After iLA implantation effectively reduced the carbon dioxide, the clinical condition of our patient improved. In conclusion, iLA is a useful tool for patient suffering from refractory asthma with hypercapnia.
Key Words: asthma; extracorporeal oxygenation; hypercapnia; iLA
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