Nonoperative Damage Control: The Use of Extracorporeal Membrane Oxygenation in Traumatic Bronchial Avulsion as a Bridge to Definitive Operation
| Autor: | Thomas M. Scalea, Nathan Schmoekel, James V. O’Connor |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine Damage control medicine.medical_specialty Resuscitation Cardiotonic Agents medicine.medical_treatment Bronchi 030204 cardiovascular system & hematology Wounds Nonpenetrating Preoperative care Avulsion 03 medical and health sciences Pneumonectomy Extracorporeal Membrane Oxygenation 0302 clinical medicine Preoperative Care Intubation Intratracheal medicine Extracorporeal membrane oxygenation Humans Thoracotomy Empyema Pleural Bronchus business.industry Accidents Traffic 030208 emergency & critical care medicine Staphylococcal Infections Epoprostenol Surgery Renal Replacement Therapy medicine.anatomical_structure Debridement Chest Tubes Anesthesia Female Emergencies Respiratory Insufficiency Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of Thoracic Surgery. 101:2384-2386 |
| ISSN: | 0003-4975 |
| Popis: | The conventional treatment for an avulsed bronchus is emergent thoracotomy and repair or lobectomy. The principles of damage control thoracic operations include initial hemorrhage control with delayed definite repair after physiologic resuscitation. We report a multiply injured patient with avulsion of the left lower lobe bronchus. Profound acidosis, hypercarbia, and hypoxia precluded an emergent operation, and venovenous extracorporeal membrane oxygenation (V-V ECMO) was used for organ support during physiologic resuscitation. After the achievement of physiologic repletion, a thoracotomy and lobectomy were performed while the patient was supported by V-V ECMO. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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