Hybrid extracorporeal membrane oxygenation (ECMO) cannulation following traumatic pneumonectomy: A case report

被引：0
|
作者：
Conhaim, Jay, I [1 ]
Levinsky, Nick C. [2 ]
Barger, Paige L. [1 ]
Palomino, Heather L. [3 ]
机构：
[1] Univ Cincinnati, Coll Med, Dept Anesthesiol, 231 Albert Sabin Way,Room 3504 MSB, Cincinnati, OH 45267 USA
[2] Univ Cincinnati, Dept Surg, Coll Med, Cincinnati, OH USA
[3] Univ Cincinnati, Dept Thorac Surg, Coll Med, Cincinnati, OH USA
来源：
TRAUMA-ENGLAND | 2023年 / 25卷 / 01期
关键词：
Extra-corporeal membrane oxygenation; hybrid ECMO; trauma pneumonectomy; OUTCOMES;
D O I：
10.1177/14604086211055288
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
A 28-year-old man presented in extremis after a motorcycle crash. Following traumatic pneumonectomy, he developed right heart failure and was placed on veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) only to transition to veno-arteriovenous (VAV) ECMO due to persistent hypoxemia. Resulting flow limitation caused distal ischemia of his left leg, requiring thrombectomy and fasciotomy. Potential loss of limb necessitated transitioning to veno-venous (VV) ECMO from which he was successfully decannulated thereafter. ECMO can bridge recovery following the most dire injuries, and hybrid strategies can ameliorate post-operative complications; however, ECMO itself carries significant risks that must be weighed against intended benefit.
引用
收藏
页码：78 / 81
页数：4
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