Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

Successful Use of Extracorporeal Membrane Oxygenation for Severe Lung Contusion and Stress-induced Cardiomyopathy Caused by Multiple Trauma

다발성 외상으로 인한 심한 폐 좌상과 스트레스성 심근병 환자에서 체외막형 산화기의 치료 경험

  • Lee, Dae-Sang (Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Gil, Eun Mi (Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, A Lan (Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Ha, Tae Sun (Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Chung, Chi-Ryang (Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Park, Chi-Min (Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Cho, Yang Hyun (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 이대상 (성균관대학교 의과대학 삼성서울병원 중환자의학과) ;
  • 길은미 (성균관대학교 의과대학 삼성서울병원 중환자의학과) ;
  • 이아란 (성균관대학교 의과대학 삼성서울병원 중환자의학과) ;
  • 하태순 (성균관대학교 의과대학 삼성서울병원 중환자의학과) ;
  • 정치량 (성균관대학교 의과대학 삼성서울병원 중환자의학과) ;
  • 박치민 (성균관대학교 의과대학 삼성서울병원 중환자의학과) ;
  • 조양현 (성균관대학교 의과대학 삼성서울병원 흉부외과)
  • Received : 2014.11.16
  • Accepted : 2014.12.04
  • Published : 2014.12.31
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Abstract

A 55 year-old man hit a vehicle while riding a bicycle. He was diagnosed as left hemopneumothorax, multiple rib fracture, cerebral hemorrhage, and skull fracture. Initially he suffered from hypoxia requiring 100% oxygen with a mechanical ventilator. Finally he became hypotensive. Venovenous extracorporeal membrane oxygenation (ECMO) was initiated to support patient's gas exchange. Because hypotension and left ventricular dysfuction persisted, we converted the mode of support to veno-arterio-venous ECMO. Over four days of intensive care, we could wean off ECMO. The patient went to rehabilitation facility after 45 days of hospitalization. Although trauma and bleeding are considered as relative contraindication of ECMO, careful decision making and management may enable us to use ECMO for trauma-related refractory heart and/or lung failure.

Keywords

References

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