case_images: PMC11832550_01
case_images: X-ray images after induction of veno-arteriovenous (V-AV) ECMO and lung rest ventilator setting. White arrow: the tip of the drainage cannula. Gray arrow: the tip of the venous reinfusion cannula. Black arrow: the tip of the arterial reinfusion cannula. White triangles: side holes of the drainage cannula. a Chest X-ray image. A venous reinfusion cannula and a central venous catheter were inserted from the right internal jugular vein. A pulmonary artery catheter and a double lumen catheter for blood purification were inserted from the left internal jugular vein. b Abdominal X-ray image. A drainage cannula was inserted from the right femoral vein and an arterial reinfusion cannula was inserted from the right femoral artery
case_images: 10047_2024_1448_Fig1_HTML.jpg
case_images: PMC11832550_01_10047_2024_1448_Fig1_HTML.jpg
case_images: Fig1
case_images: Continuous muscle relaxation was initiated and the chest X-ray image was white-out (Fig. 1a) under lung rest setting.
case_images: Clinical course and treatment schedule within the 64 h under lung rest setting after introduction of ECMO in a 65-year-old patient. ECMO, extracorporeal membrane oxygenation; V-A, veno-arterial; V-AV, veno-arteriovenous; V-V, veno-venous; TEE, transesophageal echocardiography; PCV, pressure control ventilation; PEEP, positive end expiratory pressure; PIP, peak inspiratory pressure; Rocuronium, a muscle relaxant; RR, respiratory rate; CCO, continuous cardiac output; CCO(PAC), continuous cardiac output measured by pulmonary artery catheter; CCO(LiDCO), continuous cardiac output measured by LiDCO; MV, minute volume; PO2, partial pressure of oxygen; PPAO2, partial pressure of pulmonary artery oxygen; PaO2, partial pressure of arterial oxygen; FO2, fraction of oxygen; FDO2, fraction of delivered oxygen; FIO2, fraction of inspiratory oxygen; PPostO2, partial pressure of oxygen after membrane; SPreO2, oxygen saturation before membrane
case_images: 10047_2024_1448_Fig2_HTML.jpg
case_images: PMC11832550_01_10047_2024_1448_Fig2_HTML.jpg
case_images: Fig2
case_images: The MV was below 1.0 L/min, and the systemic oxygenation was maintained for 18 h after the stop of continuous muscle relaxation (Fig. 2).