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Journal of Trauma and Injury 2014;27(4):229-232.
Successful Use of Extracorporeal Membrane Oxygenation for Severe Lung Contusion and Stress-induced Cardiomyopathy Caused by Multiple Trauma
Dae Sang Lee, Eun Mi Gil, A Lan Lee, Tae Sun Ha, Chi ryang Chung, Chi Min Park, Yang Hyun Cho
1Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
2Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. yanghyun.cho@samsung.com
다발성 외상으로 인한 심한 폐 좌상과 스트레스성 심근병 환자에서 체외막형 산화기의 치료 경험
이대상, 길은미, 이아란, 하태순, 정치량, 박치민, 조양현1
성균관대학교 의과대학 삼성서울병원 중환자의학과, 1성균관대학교 의과대학 삼성서울병원 흉부외과
Received: 16 November 2014   • Revised: 2 December 2014   • Accepted: 4 December 2014
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.
Key Words: Extracorporeal membrane oxygenation; Multiple trauma; ARDS; Cardiomyopathy
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