Acute Crit Care.  2019 Aug;34(3):223-227. 10.4266/acc.2016.00472.

Long-term extracorporeal membrane oxygenation after severe blunt traumatic lung injury in a child

Affiliations
  • 1Department of Pediatrics, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Changwon, Korea.
  • 2Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 3Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
  • 4Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. joongbum.cho@gmail.com

Abstract

Managing acute respiratory distress syndrome (ARDS) after severe blunt traumatic lung injury can be challenging. In cases where patients are refractory to conventional therapy, extracorporeal membrane oxygenation (ECMO) should be considered. In addition, the heparin-coated circuit can reduce hemorrhagic complications in patients with multiple traumas. Although prolonged ECMO may be necessary, excellent outcomes are frequently associated. In this study, we report long-term support with venovenous-ECMO applied in a child with severe blunt trauma in Korea. This 10-year-old and 30-kg male with severe blunt thoracic trauma after a car accident developed severe ARDS a few days later, and ECMO was administered for 33 days. Because of pulmonary hemorrhage during ECMO support, heparin was stopped for 3 days and then restarted. He was weaned from ECMO successfully and has been able to run without difficulty for the 2 years since discharge.

Keyword

acute respiratory distress syndrome; extracorporeal membrane oxygenation; pediatrics; thoracic injuries

MeSH Terms

Child*
Extracorporeal Membrane Oxygenation*
Hemorrhage
Heparin
Humans
Korea
Lung Injury*
Lung*
Male
Multiple Trauma
Pediatrics
Respiratory Distress Syndrome, Adult
Thoracic Injuries
Heparin
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