CASE REPORT article
Front. Med.
Sec. Pulmonary Medicine
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1609610
This article is part of the Research TopicCase Reports in Pulmonary Medicine 2025View all 3 articles
ECMO Combined with Sequential Oxygen Therapy in Drowning-Induced ARDS: A Case Report
Provisionally accepted
- Department of Critical Care Medicine, Ninth Medical Center, General Hospital of the People's Liberation Army, Beijing, China
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A 35-year-old male was admitted with drowning-induced cardiorespiratory arrest. Initial assessment revealedacute respiratory distress syndrome (ARDS), pneumothorax and refractory hypoxemia. Despite mechanical ventilation and thoracostomy tube placement, his condition deteriorate. prompting urgent initiationg 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.
Keywords: Drowning, Extracorporeal Membrane Oxygenation, sequential oxygen therapy, Acute Respiratory Distress Syndrome, case report
Received: 10 Apr 2025; Accepted: 26 May 2025.
Copyright: © 2025 Wu, Zhai, Wang, Zhao, Zhao, Cui, Chen and Hu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Mei Hu, Department of Critical Care Medicine, Ninth Medical Center, General Hospital of the People's Liberation Army, Beijing, China
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