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ECMO combined with sequential oxygen therapy in drowning-induced ARDS: a case report

Year: 2025
Type: article
Study design: Case Report
Abstract: A 35-year-old male was admitted with drowning-induced cardiorespiratory arrest. Initial assessment revealed acute respiratory distress syndrome (ARDS), pneumothorax and refractory hypoxemia. Despite mechanical ventilation and thoracostomy tube placement, his condition deteriorate. Prompting urgent initiating of veno-veous extracorporeal membrane oxygenation (V-V ECMO). Respiratory support was dynamically adjusted through sequential oxygen therapy, balancing oxygenation optimization with mitigation of ventilator-induced lung injury. Concurrent targeted antimicrobial therapy and intensive care management led to gradual clinical improvement, culminating in successful ECMO weaning and eventual recovery. This case highlights the potential of integrating ECMO with sequential oxygen therapy to address complex pathophysiological challenges in drowning-associated ARDS.
Authors: Yaxu Wu, Rui Zhai, Boyuan Wang, Pengpeng Zhao, Lijun Zhao, Huanhuan Cui, Chen Chen, Mei Hu
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W4411221456
FWCI: 0.593
Cites: 14
Cited by: 1
Related to: 10