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

Author: Se Heon KIM ¹ ; Young Hoon SUL ; Jin Young LEE ; Jin Bong YE ; Jin Suk LEE ; Soo Young YOON ; Joong Suck KIM
Author Information

1. Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju, Korea
Publication Type:Case Report
From: Journal of Acute Care Surgery 2020;10(2):68-71
CountryRepublic of Korea
Language:English
Abstract: 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 venoveno 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.