J Acute Care Surg.  2020 Jul;10(2):68-71. 10.17479/jacs.2020.10.2.68.

Veno-Veno Extracorporeal Membrane Oxygenation in Post-Traumatic Acute Lung Injury

Affiliations
  • 1Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju, Korea
  • 2Department of Trauma Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea
  • 3Department of Thoracic and Cardiovascular Surgery, Chungbuk National University Hospital, Cheongju, Korea
  • 4Department of Trauma Surgery, Cheju Halla General Hospital, Jeju, Korea

Abstract

Patients with severe lung injury and hemorrhagic shock, may develop acute respiratory failure syndrome during resuscitation, and may require extracorporeal membrane oxygenation (ECMO) support to ensure adequate oxygenation to sustain life. In this case study, a 69 year-old female was hit by a motor vehicle whilst riding her bicycle. She was in a state of hemorrhagic shock due to polytrauma and was resuscitated with massive fluid transfusion during the initial management. After admission to the intensive care unit, she suffered from hypoxia which required mechanical ventilation using 100% oxygen. However, hypoxia did not improve, so she was placed on venoveno ECMO support after 4 days of intensive care treatment. Although trauma and bleeding are considered as relative contraindications for ECMO support, veno-veno ECMO allows for lung rest, and improvement of pulmonary function.

Keyword

acute lung injury; extracorporeal membrane oxygenation; mechanical ventilator; trauma
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