Clin Exp Emerg Med.  2018 Sep;5(3):204-207. 10.15441/ceem.17.252.

Heparin-free extracorporeal membrane oxygenation in a patient with severe pulmonary contusions and bronchial disruption

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Cheonan, Korea. changsw3@naver.com
  • 2Trauma Center, Dankook University Hospital, Cheonan, Korea.

Abstract

Pulmonary contusion complicated with endobronchial hemorrhage is potentially life-threatening, particularly in patients with tracheobronchial tree disruption and severe airway bleeding after blunt trauma, and pose a high mortality risk. In such cases, extracorporeal membrane oxygenation (ECMO) can be used as a salvage treatment modality. However, the use of ECMO for moribund trauma patients with respiratory failure may be limited for several reasons, such as intractable bleeding. In this case report, we describe a patient with severe bilateral pulmonary contusions with tracheobronchial tree disruption that was successfully treated using heparin-free venovenous ECMO.

Keyword

Lung injury; Bronchi; Heparin; Extracorporeal membrane oxygenation

MeSH Terms

Bronchi
Contusions*
Extracorporeal Membrane Oxygenation*
Hemorrhage
Heparin
Humans
Lung Injury
Mortality
Respiratory Insufficiency
Salvage Therapy
Trees
Heparin
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