PMC5300303_01
A - Chest X-ray on admission day, before ICU admission. B - Chest X-ray 24 hours after hospital admission, under mechanical ventilation and veno-venous extracorporeal membrane oxygenation (cannulation of right internal jugular vein).
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She had no auscultatory findings, and chest X-ray showed consolidation in the base of the left hemithorax (Fig. 1a). ICU admission, the patient presented severe hipoxemia, (PaO2/FiO2 <80), setting ARDS criteria (PaO2/FiO2 <200) [Fig. 1b].
Chest computed tomography, performed when the patient had achieved clinical conditions to do the exam, ten days after hospital admission. The patient had significant improvement in lung function, without ECMO use, but still under mechanical ventilation. Chest computed tomography shows diffuse and bilateral interstitial infiltrates.
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The patient remained 9 days under ECMO and 11 days under mechanical ventilation, achieving a significant improvement in lung function [Fig. 2].