View : 301 Download: 0

Heparin-free veno-venous extracorporeal membrane oxygenation in a multiple trauma patient: A case report

Title
Heparin-free veno-venous extracorporeal membrane oxygenation in a multiple trauma patient: A case report
Authors
Lee, Youn YoungBaik, Hee JungLee, HeeseungKim, Chi HyoChung, Rack KyungHan, Jong InJoo, HyunyoungWoo, Jae Hee
Ewha Authors
김치효정락경한종인백희정이희승우재희
SCOPUS Author ID
김치효scopus; 정락경scopus; 한종인scopusscopus; 백희정scopus; 이희승scopus; 우재희scopus
Issue Date
2020
Journal Title
MEDICINE
ISSN
0025-7974JCR Link

1536-5964JCR Link
Citation
MEDICINE vol. 99, no. 5
Keywords
acute respiratory failureextracorporeal membrane oxygenationheparintrauma
Publisher
LIPPINCOTT WILLIAMS &

WILKINS
Indexed
SCIE; SCOPUS WOS
Document Type
Article
Abstract
Rationale:Extracorporeal membrane oxygenation (ECMO) in multiple trauma patients with post-traumatic respiratory failure can be quite challenging because of the need for systemic anticoagulation, which may lead to excessive bleeding. In the last decade, there is a growing body of evidence that veno-venous ECMO (VV-ECMO) is lifesaving in multiple trauma patients with acute respiratory distress syndrome, thanks to technical improvements in ECMO devices.Patient concerns:We report a case of a 17-year-old multiple trauma patient who was drunken and had confused mentality.Diagnoses:She was suffered from critical respiratory failure (life-threatening hypoxemia and severe hypercapnia/acidosis lasting for 70minutes) accompanied by cardiac arrest and trauma-induced coagulopathy during general anesthesia.Interventions:We decided to start heparin-free VV-ECMO after cardiac arrest considering risk of hemorrhage.Outcomes:She survived with no neurologic sequelae after immediate treatment with heparin-free VV-ECMO.Lessons:Heparin-free VV-ECMO can be used as a resuscitative therapy in multiple trauma patients with critical respiratory failure accompanied by coagulopathy. Even in cases in which life-threatening hypoxemia and severe hypercapnia/acidosis last for >1hours during CPR for cardiac arrest, VV-ECMO could be considered a potential lifesaving treatment.
Show the fulltext
DOI
10.1097/MD.0000000000019070
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE