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Two Venovenous Extracorporeal Membrane Oxygenation for One Gunshot

Venovenous extracorporeal membrane oxygenation (VV-ECMO) is an adjuvant treatment for severe acute respiratory distress syndrome (ARDS) with refractory hypoxemia. Contraindications to therapeutic anticoagulation must be ruled out prior to ECMO implementation. We report the case of a 17-year-old male...

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Bibliographic Details
Published in:Case reports in critical care 2022-07, Vol.2022, p.1-3
Main Authors: Pot, Louis, Porto, Alizée, Le Saux, Audrey, Bichon, Amandine, Cauchois, Emi, Gainnier, Marc, Carvelli, Julien, Bourenne, Jeremy
Format: Article
Language:English
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Summary:Venovenous extracorporeal membrane oxygenation (VV-ECMO) is an adjuvant treatment for severe acute respiratory distress syndrome (ARDS) with refractory hypoxemia. Contraindications to therapeutic anticoagulation must be ruled out prior to ECMO implementation. We report the case of a 17-year-old male admitted in intensive care unit (ICU) for penetrating chest trauma due to multiple gunshot wounds. The body computed tomography (body CT scan) documented right pulmonary contusions and a homolateral hemothorax. His condition rapidly deteriorated with refractory hypoxemia due to lung contusion requiring invasive mechanical ventilation (IMV) and polytransfused hemorrhagic shock. During his stay in ICU, venovenous ECMO (VV-ECMO) was implemented twice, firstly for trauma-induced ARDS and secondly after thoracic surgery. This case emphasizes the successful use of VV-ECMO in posttraumatic ARDS without increasing the risk of bleeding.
ISSN:2090-6420
2090-6439
DOI:10.1155/2022/1070830