A Woman With Refractory Hypoxemia

Severe refractory hypoxemia following a gunshot injury.

We describe the case of a 57-year-old man with severe refractory hypoxemia, despite receiving ventilation therapy with 100% oxygen, following a gunshot wound to his left chest. A limited CT scan of the chest with contrast raised the suspicion of an arteriovenous (AV) fistula. Contrast-enhanced transthoracic echocardiography confirmed the presence of a pulmonary AV fistula. Traumatic pulmonary A...

Inhaled pulmonary vasodilators in refractory hypoxemia

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/3.0/). Patients on invasive mechanical ventilation with persistent hypoxemia despite supplemental oxygen (FiO2) usually have significant shunt physiology and/or low cardiac output. If faced with refractory hypoxemia or acute right vent...

Combination therapy for a pregnant woman with severe refractory ITP.

Refractory hypoxemia caused by hepatopulmonary syndrome: a case report

INTRODUCTION Hepatopulmonary syndrome is a clinical syndrome that can affect patients of all ages with liver disease and is more common in children with biliary atresia. Contrast echocardiography is the test of choice to diagnose the presence of intrapulmonary vascular dilatation. The established treatment for hepatopulmonary syndrome is liver transplantation. CASE PRESENTATION We present the...

Rescue strategies for refractory hypoxemia: a critical appraisal

Mechanical ventilation is the most important aspect of supportive care of patients with severe acute respiratory failure. Most research directed to improving the prognosis of these patients has focused on improving support of the injured lung. In this report, current knowledge on innovative ways to manage refractory hypoxemia and ventilation without further damaging the injured lung is briefly ...