• ?Extracorporeal membrane oxygenation as a bridge to liver transplantation for acute respiratory distress syndrome-induced life-threatening hypoxaemia aggravated by hepatopulmonary syndrome
• The physiologic responses to epinephrine during cooling and after rewarming in vivo
• Acidic buffer or plus cyclosporine A post-conditioning protects isolated rat hearts against ischemia-reperfusion injury
• Are minimized perfusion circuits the better heart lung machines? Final results of a prospective randomized multicentre study.
• The Effect of Retrograde Autologous Priming of the Cardiopulmonary Bypass Circuit on Cerebral Oxygenation
• Extracorporeal membrane oxygenation support for resection of locally advanced thoracic tumors.
• Vacuum-assisted venous drainage in cardiopulmonary bypass and need of blood transfusion: experience of a service
• Cerebroprotective effect of piracetam in patients undergoing open heart surgery
• Laser fluorescence angiography reveals perfusion defects in retrograde cardioplegia
• O2 delivery and CO2 production during cardiopulmonary bypass as

Extracorporeal membrane oxygenation as a bridge to liver transplantation for acute respiratory distress syndrome-induced life-threatening hypoxaemia aggravated by hepatopulmonary syndrome

Por: Monsel A., et al.

Critical Care.2011;15:R234

El síndrome hepato-pulmonar es una entidad caracterizadas por severas alteraciones vasculares pulmonares inducidas por el hígado. La dilatación de los capilares pulmonares en las etapas terminales de la enfermedad hepática ocasiona insuficiencia respiratoria severa y muerte. Se presenta el caso de un paciente adulto con un historia previa de una cirrosis hepática alcoholica, que ingresa con un cuadro de insuficiencia respiratoria severa. Después de intubado e iniciada la ventilación mecánica la hipoxia severa refractaria se mantuvo a pesar del uso de PEEP y con una FiO2 del 100%. Se decidió iniciar un ECMO veno-venoso...