Application of Veno-venoarterial Extracorporeal Membrane Oxygenation in Multitrauma Patient with ARDS: A case report.
- Author:
Sung Jun LEE
1
;
Hyun Keun CHEE
;
Jae Joon HWANG
;
Jun Seok KIM
;
Song Am LEE
;
Jin Sik KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Konkuk University Hospital, Korea. cheehk@kuh.ac.kr
- Publication Type:Case Report
- Keywords:
Acute respiratory distress syndrome (ARDS);
Multiple trauma;
Extracorporeal membrane oxygenation
- MeSH:
Extracorporeal Membrane Oxygenation;
Female;
Humans;
Jugular Veins;
Multiple Trauma;
Oxygen;
Partial Pressure;
Respiratory Distress Syndrome, Adult;
Respiratory Insufficiency;
Young Adult
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2010;43(1):104-107
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute respiratory distress syndrome (ARDS) is difficult to treat and it is often fatal. If the medical treatment for ARDS is not effective, then extracorporeal membrane oxygenation (ECMO) can be applied to the patient. A 22-year-old female who suffered multiple traumatic injuries due to a car accident presented with acute respiratory distress syndrome. Veinarterial extracorporeal membrane oxygenation (VA ECMO) was started to treat her respiratory failure. With the VA ECMO, the systemic oxygen saturation remained at only 84%, and so the ECMO system was switched to V-VA ECMO via an additional venous outflow through the right jugular vein to increase both the systemic and pulmonary oxygen saturation. After conversion to the V-VA type ECMO, the systemic oxygen saturation increased to 94% and the partial pressure of oxygen (PaO2) increased to 65 mmHg. We report here on a successful case of ECMO conversion from the VA type to the V-VA type in a patient with severely hypoxic respiratory failure.
