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KMID : 0604020160310010054
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Korean Journal of Critical Care Medicine
2016 Volume.31 No. 1 p.54 ~ p.57
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The Use of Extracorporeal Membrane Oxygenation in the Surgical Repair of Bronchial Rupture
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Park Ju-Hee
Lim Jung-Hyeon
Lee Jae-Jin
Lee Hee-Sung
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Abstract
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Extracorporeal membrane oxygenation (ECMO) has been used successfully in critically ill patients with traumatic lung injury and offers an additional treatment modality. ECMO is mainly used as a bridge treatment to delayed surgical management; however, only a few case reports have presented the successful application of ECMO as intraoperative support during the surgical repair of traumatic bronchial injury. A 38-year-old man visited our hospital after a blunt chest trauma. His chest imaging showed hemopneumothorax in the left hemithorax and a finding suspicious for left main bronchus rupture. Bronchoscopy was performed and confirmed a tear in the left main bronchus and a congenital tracheal bronchus. We decided to provide venovenous ECMO support during surgery for bronchial repair. We successfully performed main bronchial repair in this traumatic patient with a congenital tracheal bronchus. We suggest that venovenous ECMO offers a good option for the treatment of bronchial rupture when adequate ventilation is not possible.
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KEYWORD
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blunt injury, extracorporeal membrane oxygenation, lung injury, trauma
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