Journal Browser Advanced Search Help
Journal Browser Advanced search HELP
-
J Trauma Inj. 2014 Dec;27(4):229-232. Korean. Case Report.
Lee DS , Gil EM , Lee AL , Ha TS , Chung CR , Park CM , Cho YH .
Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. yanghyun.cho@samsung.com
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.

Copyright © 2019. Korean Association of Medical Journal Editors.