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Successful ECMO rescue for organophosphate poisoning causing refractory acute respiratory distress syndrome: a first
Charlotte Suermondt1, Charles de Marcellus1, Dominique Vodovar2
1Pediatric Intensive Care Unit, Necker Hospital, AP-HP Centre Université de Paris, Paris, France.
Abstract:
A 20-month-old girl presented with organophosphate poisoning. Her clinical course was complicated by acute respiratory failure despite oxime administration, requiring mechanical ventilation within 24 h. Due to refractory acute respiratory distress syndrome (ARDS), the patient was placed on veno-venous extracorporeal membrane oxygenation (VV-ECMO) therapy on day 3. Successful rescue and complete recovery were achieved with VV-ECMO. Veno-venous ECMO may be an option for organophosphate poisoning in case of respiratory failure.
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