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

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)
Publication Information
Journal of Trauma and Injury / v.27, no.4, 2014 , pp. 229-232 More about this Journal
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
Extracorporeal membrane oxygenation; Multiple trauma; ARDS; Cardiomyopathy;
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