[Refractory infectious ARDS: place of extracorporeal membrane oxygenation]. / SDRA infectieux réfractaire: place de l'oxygénation extracorporelle.

Acute respiratory distress syndrome (ARDS) is a frequent cause of admission in intensive care unit. The treatment is well codified. Unfortunately some patients die because of hypoxemia despite a well-conducted medical treatment. Extracorporeal oxygenation could be the ultimate treatment for these refractory hypoxemia patients. We report two cases of patients suffering from severe ARDS who beneficiated from extracorporeal oxygenation, pointing out the interest of this technique during severe ARDS as well as the accessibility and the feasibility of the technique even apart from a specialized center.

[Delayed discovery in an ICU patient of a superior vena cava perforation after subclavian-venous catheterization]. / Découverte tardive chez un patient de réanimation d'une perforation de la veine cave supérieure par un cathéter veineux sous-clavier.

Perforation is a central venous catheterization complication mainly observed in children. Usually, patients develop sudden shock early after catheterization. We report an asymptomatic and delayed superior vena cava perforation after subclavian venous adult catheterization discovered by contrast injection tomography.

[Effect of inhaled nitric oxide in a patient with intracranial hypertension]. / Effet du monoxyde d'azote inhalé chez une patiente atteinte d'hypertension intracrânienne.

Inhaled nitric oxide (NO) may be beneficial in patients with acute respiratory distress syndrome (ARDS). The effects of inhaled NO on intracranial pressure have not yet been assessed. This case shows the beneficial effects of inhaled NO in a patient with ARDS and intracranial hypertension.