# Case Report: Evidence-based case management of ECMO treatment for children with severe lung abscess complicated with bronchopleural fistula

## TL;DR

This case report describes successful evidence-based nursing care for a child with a severe lung abscess and bronchopleural fistula treated with ECMO.

## Contribution

The paper introduces a novel evidence-based nursing protocol for managing ECMO in pediatric patients with complex lung conditions.

## Key findings

- The patient fully recovered after 16 days of ECMO support and 70 days in the hospital.
- Innovative nursing interventions helped prevent pressure injuries and manage ECMO-related complications.
- Three-month follow-up confirmed excellent restoration of pulmonary function.

## Abstract

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.