Veno-arterial-venous extracorporal membrane oxygenation (V-AV ECMO) in a patient in ARDS and cardiac instability after severe polytrauma.

Autor: Heymer J; Department of Internal Medicine Intensive Care, Klinikum Stuttgart, Kriegsbergstr. 60, 70174, Stuttgart, Germany., Fohr B; Department of Anesthesiology and Intensive Care, Klinikum Stuttgart, Kriegsbergstrasse 60, 70174, Stuttgart, Germany., Raepple D; Department of Internal Medicine Intensive Care, Klinikum Stuttgart, Kriegsbergstr. 60, 70174, Stuttgart, Germany. d.raepple@klinikum-stuttgart.de.
Jazyk: angličtina
Zdroj: Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs [J Artif Organs] 2024 Jun; Vol. 27 (2), pp. 163-166. Date of Electronic Publication: 2023 Apr 18.
DOI: 10.1007/s10047-023-01393-0
Abstrakt: The role of extracorporeal life support (ECLS) in critically ill trauma patients is underutilized, mainly due to concerns of anticoagulation. However, short-term ECLS in these patients can be safely performed with no or minimal systemic anticoagulation. Case series show favorable outcomes in trauma patients with veno-venous (V-V) and veno-arterial (V-A) ECMO, respectively, but there are only a few case reports of successful veno-arterio-venous (V-AV) ECMO in polytrauma patients. We report on a 63-year-old female admitted to our emergency department following a severe car accident who was successfully treated in a multidisciplinary approach, including bridging to damage control surgery and recovery with a V-AV ECMO.
(© 2023. The Japanese Society for Artificial Organs.)
Databáze: MEDLINE
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