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KMID : 1155520190140010048
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Anesthesia and Pain Medicine
2019 Volume.14 No. 1 p.48 ~ p.53
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Successful case of veno-venous extracorporeal membrane oxygenation in an abdominal trauma patient - A case report -
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Kim Jun-Hyun
Kim Ji-Yeon
Park Sung-Hyeok
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Abstract
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A 37?year-old male visited the hospital with multiple trauma after traffic accident. Fractures of ribs, left femur, and right humerus and spleen rupture with hemoperitoneum were founded on image studies. He was moved to operation room and general anesthesia was performed for splenectomy. During the operation, excessive high peak inspiratory pressure was observed. After abdominal closure, hypoxia, hypercapnia, and respiratory acidosis were worsened. Veno-venous extracorporeal membrane oxygenation (ECMO) was initiated after the operation. Status of the patient were improved after the application of ECMO. The patient was discharged without significant complication. Despite of several limitations in applying ECMO to patients with abdominal compartment syndrome (ACS) and multiple trauma, severe pulmonary dysfunction in ACS patients may be rescued without open abdomen treatment.
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KEYWORD
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Adult respiratory distress syndrome, Extracorporeal membrane oxygenation, Hemoperitoneum, Intra-abdominal hypertension, Multiple trauma
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