Heparin-free extracorporeal membrane oxygenation in a patient with severe pulmonary contusions and bronchial disruption.
- Author:
Kyoung Min RYU
1
;
Sung Wook CHANG
Author Information
- Publication Type:Case Report
- Keywords: Lung injury; Bronchi; Heparin; Extracorporeal membrane oxygenation
- MeSH: Bronchi; Contusions*; Extracorporeal Membrane Oxygenation*; Hemorrhage; Heparin; Humans; Lung Injury; Mortality; Respiratory Insufficiency; Salvage Therapy; Trees
- From: Clinical and Experimental Emergency Medicine 2018;5(3):204-207
- CountryRepublic of Korea
- Language:English
- Abstract: Pulmonary contusion complicated with endobronchial hemorrhage is potentially life-threatening, particularly in patients with tracheobronchial tree disruption and severe airway bleeding after blunt trauma, and pose a high mortality risk. In such cases, extracorporeal membrane oxygenation (ECMO) can be used as a salvage treatment modality. However, the use of ECMO for moribund trauma patients with respiratory failure may be limited for several reasons, such as intractable bleeding. In this case report, we describe a patient with severe bilateral pulmonary contusions with tracheobronchial tree disruption that was successfully treated using heparin-free venovenous ECMO.
