The Use of Extracorporeal Membrane Oxygenation in the Surgical Repair of Bronchial Rupture.
10.4266/kjccm.2016.31.1.54
- Author:
Ju Hee PARK
;
Junghyeon LIM
;
Jaejin LEE
;
Hee Sung LEE
- Publication Type:Case Report
- Keywords:
blunt injury;
extracorporeal membrane oxygenation;
lung injury;
trauma
- MeSH:
Adult;
Bronchi;
Bronchoscopy;
Critical Illness;
Extracorporeal Membrane Oxygenation*;
Hemopneumothorax;
Humans;
Lung Injury;
Rupture*;
Tears;
Thorax;
Ventilation;
Wounds, Nonpenetrating
- From:Korean Journal of Critical Care Medicine
2016;31(1):54-57
- CountryRepublic of Korea
- Language:English
-
Abstract:
Extracorporeal membrane oxygenation (ECMO) has been used successfully in critically ill patients with traumatic lung injury and offers an additional treatment modality. ECMO is mainly used as a bridge treatment to delayed surgical management; however, only a few case reports have presented the successful application of ECMO as intraoperative support during the surgical repair of traumatic bronchial injury. A 38-year-old man visited our hospital after a blunt chest trauma. His chest imaging showed hemopneumothorax in the left hemithorax and a finding suspicious for left main bronchus rupture. Bronchoscopy was performed and confirmed a tear in the left main bronchus and a congenital tracheal bronchus. We decided to provide venovenous ECMO support during surgery for bronchial repair. We successfully performed main bronchial repair in this traumatic patient with a congenital tracheal bronchus. We suggest that venovenous ECMO offers a good option for the treatment of bronchial rupture when adequate ventilation is not possible.
