Use of extracorporeal membrane oxygenation in combination with high-frequency oscillatory ventilation in post-traumatic ARDS

Autor:	Justyna Swol, M. Gothner, Justus Strauch, Dirk Buchwald, Thomas A. Schildhauer, A. Schlebes
Rok vydání:	2013
Předmět:	ARDS business.industry medicine.medical_treatment General Medicine Pulmonary compliance Lung injury medicine.disease Anesthesiology and Pain Medicine Abdominal trauma Blunt trauma Anesthesia Fraction of inspired oxygen Extracorporeal membrane oxygenation medicine Injury Severity Score business
Zdroj:	Acta Anaesthesiologica Scandinavica. 57:391-394
ISSN:	0001-5172
Popis:	Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are life-threatening complications in trauma patients. Despite the implantation of a veno-venous extracorporeal membrane oxygenation (vv ECMO), sufficient oxygenation (arterial SaO(2) > 90%) is not always achieved. The additive use of high-frequency oscillation ventilation (HFOV) and ECMO in the critical phase after trauma could prevent the occurrence of life-threatening hypoxaemia and multi-organ failure. We report on a 26-year-old female (Injury Severity Score 29) who had multiple injuries as follows: an unstable pelvic fracture, a blunt abdominal trauma, a blunt trauma of the left thigh, and a thoracic injury. Three days after admission, the patient developed fulminant ARDS (Murray lung injury score of 11 and Horovitz-Index
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::b85dc0d6f4a977c365d5b95756500ac6 https://doi.org/10.1111/aas.12065 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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