Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

A Bridge to Nowhere: Enabling Autonomy in a Case of Failed ECMO Rescue of Bleomycin Induced Pulmonary Toxicity

Version 1 : Received: 27 February 2023 / Approved: 28 February 2023 / Online: 28 February 2023 (06:46:44 CET)

A peer-reviewed article of this Preprint also exists.

Hall, J.; Khilkin, M.; Murphy, S.; Botros, G. A Bridge to Nowhere: Enabling Autonomy in a Case of Failed ECMO Rescue of Bleomycin-Induced Pulmonary Toxicity. Reports 2023, 6, 17. Hall, J.; Khilkin, M.; Murphy, S.; Botros, G. A Bridge to Nowhere: Enabling Autonomy in a Case of Failed ECMO Rescue of Bleomycin-Induced Pulmonary Toxicity. Reports 2023, 6, 17.

Abstract

Extracorporeal membrane oxygenation (ECMO) can be a life-saving intervention in cases of potentially reversible refractory respiratory failure. One such indication can be bleomycin-induced lung injury. However, in some cases, the injury can be so severe that it becomes irreversible and creates complex medical decisions regarding life support and the continuation of care when no additional therapeutic options are feasible, particularly in cases of patients who were young and fully functional prior to an acute illness. In cases of full pulmonary replacement with mechanical support and the degree of functionality that can be attained utilizing modalities such as ECMO can obscure the true severity of illness and make end-of-life decisions significantly harder for families and caregivers.

Keywords

bleomycin; ECMO; pulmonary fibrosis; pulmonary toxicity; veno-venous extracorporeal membrane oxygenation; lung transplant

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

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