Venovenous extracorporeal membrane oxygenation as a bridge to traumatic bronchial fistula closure
Autor: | J.M.G. Prim, C. Galbán Rodríguez, P. Barral-Segade, Emilio Rodriguez-Ruiz, Á.L. Fernández-González |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Percutaneous business.industry medicine.medical_treatment Bronchopleural fistula 030208 emergency & critical care medicine General Medicine 030204 cardiovascular system & hematology Lung injury medicine.disease Bronchial Fistula Surgery 03 medical and health sciences 0302 clinical medicine Blunt Extracorporeal membrane oxygenation Medicine Implant medicine.symptom business Acidosis |
Zdroj: | Revista Española de Anestesiología y Reanimación (English Edition). 66:533-536 |
ISSN: | 2341-1929 |
DOI: | 10.1016/j.redare.2019.02.010 |
Popis: | Traumatic tracheobronchial injuries occur in 1% of patients with thoracic trauma, most of them dying at the site of the trauma. In this case report, we present a 26-year-old female patient admitted to the ICU due to a blunt chest trauma causing life threatening hypoxaemia and acidosis; deciding to implant percutaneous venovenous extracorporeal membrane oxygenation. The use of percutaneous venovenous extracorporeal membrane oxygenation, implemented with a lower anticoagulation target, allowed the diagnosis and treatment of a bronchopleural fistula under conditions of respiratory and hemodynamic stability without haemorrhagic complications, obtaining a fast and adequate assistance achieving the survival of the patient. |
Databáze: | OpenAIRE |
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