ECMO support for right main bronchial disruption in multiple trauma patient with brain injury—a case report and literature review

作者：Ronghua Zhou, B Liu, Ke Lin, R Wang, Zhen Qin, Ren Liao, Yan Qiu · 发表于：Perfusion · 年份：2014 · DOI：10.1177/0267659114554326 · 被引用次数：25 · 研究领域：Mechanical Circulatory Support Devices、Trauma Management and Diagnosis、Cardiac Arrest and Resuscitation

Extracorporeal membrane oxygenation (ECMO) may offer life-saving treatment in severe pulmonary contusion or acute respiratory distress syndrome when conventional treatments have failed. However, because of the bleeding risk of systemic anticoagulation, ECMO should be performed only as a last resort in multiple trauma victims. Here, we report ECMO as a bridge for right main bronchus reconstruction and recovery of traumatic wet lung in a 31-year-old male multi-trauma patient with right main bronchial disruption, bilateral pulmonary contusion, cerebral contusion and long bone fracture. The patient was discharged without any obvious complication. ECMO support in a traumatic brain injured patient with severe hypoxemia caused by lung contusion and/or tracheal bronchus disruption is not an absolute contraindication.