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J Thorac Cardiovasc Surg 2007;133:824-825
© 2007 The American Association for Thoracic Surgery

Brief Communication

Successful extracorporeal life support using a new micro-diagonal pump in a child with acute laryngotracheobronchitis, lung failure, and untractable septic shock

Thierry Carrel, MDa,*, Erich Gygax, EBPa,*, Hans-Jürg Jenni, EBPa, Bendicht Wagner, MDb

a Department of Cardiovascular Surgery, University Hospital, Berne, Switzerland
b Division of Paediatric Intensive Care Unit, University Hospital, Berne, Switzerland.

Received for publication August 3, 2006; accepted for publication September 20, 2006.

* Address for reprints: T. Carrel, MD, Clinic for Cardiovascular Surgery University Hospital, CH-3010 Berne, Switzerland. (Email: thierry.carrel@insel.ch).

The first 20% of the full text of this article appears below.


Figure 1
Dr Carrel


Acute viral laryngotracheitis, the so-called "croup," is a widely known disease in pediatric medicine. Unless there are no signs of respiratory distress, children are treated ambulatory. Few of them require hospitalization and only 1% must be intubated because of respiratory failure.1Go Bacterial pneumonia may complicate viral laryngotracheitis and adversely influence outcome. Even properly managed, viral laryngotracheitis can occasionally result in death, particularly in young infants.2Go

Clinical Summary

A 14-month-old male infant (8.7 kg, 80 cm, body surface area 0.43 m2) had symptoms of a common cold but had to be hospitalized because of rapid deterioration of his general condition and severe respiratory distress syndrome. Despite treatment with oxygen, humidified air, inhalational epinephrine, and intravenous corticosteroids, he had to be intubated because of respiratory failure. Bilateral pleural effusions were drained. Oxygenation did not improve and conventional ventilation was switched to high-frequency oscillatory ventilation . . . [Full Text of this Article]






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