Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김치효 | * |
dc.contributor.author | 정락경 | * |
dc.contributor.author | 한종인 | * |
dc.contributor.author | 백희정 | * |
dc.contributor.author | 이희승 | * |
dc.contributor.author | 우재희 | * |
dc.date.accessioned | 2020-05-04T16:30:11Z | - |
dc.date.available | 2020-05-04T16:30:11Z | - |
dc.date.issued | 2020 | * |
dc.identifier.issn | 0025-7974 | * |
dc.identifier.issn | 1536-5964 | * |
dc.identifier.other | OAK-26854 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/253886 | - |
dc.description.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. | * |
dc.language | English | * |
dc.publisher | LIPPINCOTT WILLIAMS & | * |
dc.publisher | WILKINS | * |
dc.subject | acute respiratory failure | * |
dc.subject | extracorporeal membrane oxygenation | * |
dc.subject | heparin | * |
dc.subject | trauma | * |
dc.title | Heparin-free veno-venous extracorporeal membrane oxygenation in a multiple trauma patient: A case report | * |
dc.type | Article | * |
dc.relation.issue | 5 | * |
dc.relation.volume | 99 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.journaltitle | MEDICINE | * |
dc.identifier.doi | 10.1097/MD.0000000000019070 | * |
dc.identifier.wosid | WOS:000525767500103 | * |
dc.author.google | Lee, Youn Young | * |
dc.author.google | Baik, Hee Jung | * |
dc.author.google | Lee, Heeseung | * |
dc.author.google | Kim, Chi Hyo | * |
dc.author.google | Chung, Rack Kyung | * |
dc.author.google | Han, Jong In | * |
dc.author.google | Joo, Hyunyoung | * |
dc.author.google | Woo, Jae Hee | * |
dc.contributor.scopusid | 김치효(36059166000) | * |
dc.contributor.scopusid | 정락경(15925032500) | * |
dc.contributor.scopusid | 한종인(57206610922) | * |
dc.contributor.scopusid | 백희정(7101961242) | * |
dc.contributor.scopusid | 이희승(57216677572) | * |
dc.contributor.scopusid | 우재희(39162370700) | * |
dc.date.modifydate | 20240419142459 | * |