Hybrid extracorporeal membrane oxygenation (ECMO) cannulation following traumatic pneumonectomy: A case report

Author:

Conhaim Jay I1ORCID,Levinsky Nick C2,Barger Paige L1,Palomino Heather L3

Affiliation:

1. Department of Anesthesiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA

2. Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA

3. Department of Thoracic Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA

Abstract

A 28-year-old man presented in extremis after a motorcycle crash. Following traumatic pneumonectomy, he developed right heart failure and was placed on veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) only to transition to veno-arteriovenous (VAV) ECMO due to persistent hypoxemia. Resulting flow limitation caused distal ischemia of his left leg, requiring thrombectomy and fasciotomy. Potential loss of limb necessitated transitioning to veno-venous (VV) ECMO from which he was successfully decannulated thereafter. ECMO can bridge recovery following the most dire injuries, and hybrid strategies can ameliorate post-operative complications; however, ECMO itself carries significant risks that must be weighed against intended benefit.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine,Emergency Medicine,Surgery

Reference8 articles.

1. Extracorporeal Life Support Organization. General guidelines for all ECLS cases. (2017, accessed 29 September 2020).

2. Veno-venous ECMO in ARDS after post-traumatic pneumonectomy

3. Surgical outcomes after trauma pneumonectomy

4. Operative Management and Outcomes of Traumatic Lung Resection

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Physiology II: Venoarterial ECMO;ECMO: A Practical Guide to Management;2024

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