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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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2022/1070830 |
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| author | Louis Pot Alizée Porto Audrey Le Saux Amandine Bichon Emi Cauchois Marc Gainnier Julien Carvelli Jeremy Bourenne |
| author_facet | Louis Pot Alizée Porto Audrey Le Saux Amandine Bichon Emi Cauchois Marc Gainnier Julien Carvelli Jeremy Bourenne |
| author_sort | Louis Pot |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-0be13a68e52c411db6e6d53087b34cac |
| institution | Kabale University |
| issn | 2090-6439 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-0be13a68e52c411db6e6d53087b34cac2025-02-03T01:08:47ZengWileyCase Reports in Critical Care2090-64392022-01-01202210.1155/2022/1070830Two Venovenous Extracorporeal Membrane Oxygenation for One GunshotLouis Pot0Alizée Porto1Audrey Le Saux2Amandine Bichon3Emi Cauchois4Marc Gainnier5Julien Carvelli6Jeremy Bourenne7Réanimation des UrgencesCardiac Surgery DepartmentRéanimation des UrgencesRéanimation des UrgencesRéanimation des UrgencesRéanimation des UrgencesRéanimation des UrgencesRéanimation des UrgencesVenovenous 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.http://dx.doi.org/10.1155/2022/1070830 |
| spellingShingle | Louis Pot Alizée Porto Audrey Le Saux Amandine Bichon Emi Cauchois Marc Gainnier Julien Carvelli Jeremy Bourenne Two Venovenous Extracorporeal Membrane Oxygenation for One Gunshot Case Reports in Critical Care |
| title | Two Venovenous Extracorporeal Membrane Oxygenation for One Gunshot |
| title_full | Two Venovenous Extracorporeal Membrane Oxygenation for One Gunshot |
| title_fullStr | Two Venovenous Extracorporeal Membrane Oxygenation for One Gunshot |
| title_full_unstemmed | Two Venovenous Extracorporeal Membrane Oxygenation for One Gunshot |
| title_short | Two Venovenous Extracorporeal Membrane Oxygenation for One Gunshot |
| title_sort | two venovenous extracorporeal membrane oxygenation for one gunshot |
| url | http://dx.doi.org/10.1155/2022/1070830 |
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