A combined management with vv-ECMO and independent lung ventilation for asymmetric chest trauma.
Acute respiratory distress syndrome
Air leak
Bronchopleural fistula
Lung injury
Journal
General thoracic and cardiovascular surgery
ISSN: 1863-6713
Titre abrégé: Gen Thorac Cardiovasc Surg
Pays: Japan
ID NLM: 101303952
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
received:
09
11
2020
accepted:
03
01
2021
pubmed:
14
1
2021
medline:
24
4
2021
entrez:
13
1
2021
Statut:
ppublish
Résumé
Association of independent lung ventilation (ILV) and veno-venous extracorporeal membrane oxygenation (vv-ECMO) may be life-saving therapy in cases of refractory hypoxemia. We report the case of a trauma patient affected by asymmetric hypoxemic lung contusions and massive air leak managed by association of ILV and vv-ECMO. This combined strategy allowed us first to restore physiologic conditions and later to achieve safe thoracic surgery with reduced resection of pulmonary parenchyma. This case highlights the success of a new damage control strategy in extreme cases of persistent air leak with refractory hypoxemia allowing initial vital rescue and a more conservative treatment.
Identifiants
pubmed: 33439375
doi: 10.1007/s11748-021-01587-4
pii: 10.1007/s11748-021-01587-4
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
902-905Références
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