CASE REPORT article
Front. Pediatr.
Sec. Pediatric Critical Care
Volume 13 - 2025 | doi: 10.3389/fped.2025.1676151
Evidence-based case management of ECMO treatment for children with severe lung abscess complicated with bronchopleural fistula
Provisionally accepted
Dan Li1,2,3,4
Qian Yu Meng1,2,3,4*- 1Department of PICU Children’s Hospital of Chongqing Medical University, Chongqing, China
- 2National Clinical Research Center for Child Health and Disorders, Chongqing, China
- 3Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- 4Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Chongqing, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
This report details an evidence-based nursing management protocol for pediatric cases of severe lung abscess complicated by bronchopleural fistula treated with extracorporeal membrane oxygenation (ECMO). Evidence-based targeted nursing interventions were implemented, including: prone position ventilation care, closed-chest drainage care, bronchial blocker monitoring and care, ECMO cannulas management and hemorrhage control, and innovative measures to prevent pressure injuries related to tubing and devices, The patient underwent 16 days of ECMO support, spent 58 days in the ICU, and was discharged after a total hospital stay of 70 days with full recovery. Follow-up at 3 months post-discharge confirmed excellent pulmonary function restoration.
Keywords: Necrotizing pneumonia, Extracorporeal Membrane Oxygenation, Bronchialoccluder, Prone position ventilation, Pressure injury, Evidence-Based Nursing
Received: 30 Jul 2025; Accepted: 20 Oct 2025.
Copyright: © 2025 Li and Meng. 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: Qian Yu Meng, 23537377@qq.com
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.