Craniotomy during ECMO in a severely traumatized patient
| Autor: | Hans Knotzer, R. Peer, Barbara Friesenecker, Josef Rieder, W. R. Hasibeder, Martin W. Dünser, Philipp Lirk, Astrid Mayr |
|---|---|
| Přispěvatelé: | Other departments |
| Jazyk: | angličtina |
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Neurology Thoracic Injuries medicine.medical_treatment Lung injury Hypoxemia Extracorporeal Membrane Oxygenation Extracorporeal membrane oxygenation Cerebral Hemorrhage Traumatic Medicine Humans Lung Craniotomy Neuroradiology Respiratory Distress Syndrome medicine.diagnostic_test business.industry Anticoagulants Brain Interventional radiology Lung Injury Surgery surgical procedures operative Anesthesia Brain Injuries Accidental Falls Neurology (clinical) Neurosurgery medicine.symptom Intracranial Hypertension business Tomography X-Ray Computed |
| Zdroj: | Acta neurochirurgica, 147(9), 993-6; discussion 996. Springer Wien |
| ISSN: | 0001-6268 |
| DOI: | 10.1007/s00701-005-0568-5 |
| Popis: | Extracorporeal membrane oxygenation (ECMO) can be a last resort treatment in acute respiratory distress syndrome after thoracic trauma. However, co-existent brain trauma is considered to be a contra-indication for ECMO. This is the first report on successful craniotomy under ECMO treatment in a multiply traumatized patient with severe thoracic and brain injuries. This successful treatment with beneficial neurological outcome suggests that ECMO therapy should not be withheld from severely injured patients with combined brain and thoracic trauma presenting with life-threatening hypoxemia. Moreover, even craniotomy may be performed during ECMO therapy without major bleeding and adverse effects on neurological function. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink