Veno-Veno Extracorporeal Membrane Oxygenation in Post-Traumatic Acute Lung Injury

김세헌; 설영훈; 이진영; 예진봉; 이진석; 윤수영; 김중석

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자료유형: 학술저널

저자정보: 김세헌 (충북대학교) 설영훈 (충북대학교) 이진영 (충북대학교) 예진봉 (충북대학교) 이진석 (충북대학교) 윤수영 (충북대학교) 김중석 (제주한라병원)

저널정보: 대한외상중환자외과학회 Journal of Acute Care Surgery Journal of Acute Care Surgery Vol.10 No.2

발행연도: 2020.1

수록면: 68 - 71 (4page)

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Patients with severe lung injury and hemorrhagic shock, may develop acute respiratory failure syndrome during resuscitation, and may require extracorporeal membrane oxygenation (ECMO) support to ensure adequate oxygenation to sustain life. In this case study, a 69 year-old female was hit by a motor vehicle whilst riding her bicycle. She was in a state of hemorrhagic shock due to polytrauma and was resuscitated with massive fluid transfusion during the initial management. After admission to the intensive care unit, she suffered from hypoxia which required mechanical ventilation using 100% oxygen. However, hypoxia did not improve, so she was placed on veno-veno ECMO support after 4 days of intensive care treatment. Although trauma and bleeding are considered as relative contraindications for ECMO support, veno-veno ECMO allows for lung rest, and improvement of pulmonary function.

#acute lung injury #extracorporeal membrane oxygenation #mechanical ventilator #trauma

참고문헌 (11)

참고문헌 신청

Arlt M / 2010 / Extracorporeal membrane oxygenation in severe trauma patients with bleeding shock / Resuscitation 81(7):804~809

Madershahian N / 2007 / Application of ECMO in multitrauma patients with ARDS as rescue therapy / J Card Surg 22(3):180~184

Toy P / 2005 / Transfusion-related acute lung injury : Definition and review / Crit Care Med 33(4):721~726

Hill JD / 1972 / Prolonged Extracorporeal Oxygenation for Acute Post-Traumatic Respiratory Failure(Shock-Lung Syndrome)— Use of the Bramson Membrane Lung / N Engl J Med 286(12):629~634

Wydo S / 2013 / Extracorporeal membrane oxygenation : A trauma surgeon’s perspective / Mech Circ Support 4(1):11826582

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