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KMID : 0360720140270040229
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Journal of the Korean Society Traumatology
2014 Volume.27 No. 4 p.229 ~ p.232
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Successful Use of Extracorporeal Membrane Oxygenation for Severe Lung Contusion and Stress-induced Cardiomyopathy Caused by Multiple Trauma
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Lee Dae-Sang
Gil Eun-Mi
Lee A-Lan
Ha Tae-Sun
Chung Chi-Ryang
Park Chi-Min
Cho Yang-Hyun
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Abstract
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A 55 year-old man hit a vehicle while riding a bicycle. He was diagnosed as left hemopneumothorax, multiple rib fracture, cerebral hemorrhage, and skull fracture. Initially he suffered from hypoxia requiring 100% oxygen with a mechanical ventilator. Finally he became hypotensive. Venovenous extracorporeal membrane oxygenation (ECMO) was initiated to support patient’s gas exchange. Because hypotension and left ventricular dysfuction persisted, we converted the mode of support to veno-arterio-venous ECMO. Over four days of intensive care, we could wean off ECMO. The patient went to rehabilitation facility after 45 days of hospitalization. Although trauma and bleeding are considered as relative contraindication of ECMO, careful decision making and management may enable us to use ECMO for trauma-related refractory heart and/or lung failure.
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KEYWORD
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Extracorporeal membrane oxygenation, Multiple trauma, ARDS, Cardiomyopathy
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