Emergency Bilobectomy under the Extracorporeal Membrane Oxygenation Support for Pediatric Patient with Blunt Traumatic Bronchial Transection: A case report.
- Author:
Wonho CHANG
1
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital, Korea. changwh@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Extracorporeal circulation;
Blunt trauma;
Bronchi
- MeSH:
Airway Management;
Bronchi;
Child;
Emergencies;
Extracorporeal Circulation;
Extracorporeal Membrane Oxygenation;
Heparin;
Humans
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2010;43(6):804-807
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Blunt bronchial injuries rarely occur in children. This can be a life threatening condition and respiratory management is important for successful treatment. We present here a pediatric patient who had traumatic bronchial transection with difficult airway management. Surgical treatment was carried out under ventilatory support using extracorporeal membrane oxygenation (ECMO) in the emergency room. During the application of ECMO, systemic heparization was unnecessary and there were no thrombotic complications. In conclusion, ventilatory support using ECMO is useful for treating selected patients with blunt trauma regardless of using heparin.
