PMID- 28820027 OWN - NLM STAT- MEDLINE DCOM- 20180424 LR - 20180424 IS - 1477-111X (Electronic) IS - 0267-6591 (Linking) VI - 32 IP - 6 DP - 2017 Sep TI - Atelectasis after airway extubation during veno-arterial extracorporeal membrane oxygenation support. PG - 511-513 LID - 10.1177/0267659117698216 [doi] AB - Veno-arterial extracorporeal membrane oxygenation (VA ECMO) is used in cardiopulmonary failure patients to provide temporary assisted circulation. Usually, prolonged intubation and invasive mechanical ventilation are required in patients with ECMO support. We report on two cases of patients who had no pre-existing injuries of the affected lung, underwent VA ECMO support after open-heart surgery and received airway extubation (AE) or awake ECMO with the recovery of left ventricular ejection fraction. Atelectasis happened after AE and non-invasive positive pressure ventilation attenuated the atelectasis of one patient. The atelectasis of the other patient was corrected 10 hours after weaning from ECMO. Both patients were discharged successfully. Awake VA ECMO for post-cardiac surgery patients should be performed with prudence and needs further research. FAU - Wang, Hong AU - Wang H AD - 1 Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, Beijing, China. FAU - Jia, Ming AU - Jia M AD - 1 Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, Beijing, China. FAU - Mao, Bin AU - Mao B AD - 2 Department of Cardiac Surgery, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing, China. FAU - Hou, Xiaotong AU - Hou X AD - 1 Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, Beijing, China. LA - eng PT - Case Reports PT - Journal Article DEP - 20170301 PL - England TA - Perfusion JT - Perfusion JID - 8700166 SB - IM MH - Adult MH - Airway Extubation/*adverse effects MH - Extracorporeal Membrane Oxygenation/*methods MH - Female MH - Humans MH - Male MH - Middle Aged MH - Pulmonary Atelectasis/*etiology/pathology MH - Young Adult OTO - NOTNLM OT - airway extubation OT - awake OT - non-invasive ventilation OT - pulmonary atelectasis OT - veno-arterial extracorporeal membrane oxygenation EDAT- 2017/08/19 06:00 MHDA- 2018/04/25 06:00 CRDT- 2017/08/19 06:00 PHST- 2017/08/19 06:00 [entrez] PHST- 2017/08/19 06:00 [pubmed] PHST- 2018/04/25 06:00 [medline] AID - 10.1177/0267659117698216 [doi] PST - ppublish SO - Perfusion. 2017 Sep;32(6):511-513. doi: 10.1177/0267659117698216. Epub 2017 Mar 1.