Successful Extracorporeal Membrane Oxygenation (ECMO) Use without Systemic Anticoagulation for Acute Respiratory Distress Syndrome in a Patient with Aneurysmal Subarachnoid Hemorrhage
Extracorporeal membrane oxygenation (ECMO) is an important life-saving technology for patients with severe acute respiratory distress syndrome (ARDS). Unfortunately, ECMO has been traditionally contraindicated in patients with hemorrhagic neurologic diseases. The recent improvement in ECMO devices,...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/9537453 |
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| _version_ | 1832567822658568192 |
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| author | Amanda L. Faulkner James David Bacon Brian A. Fischer Stephen L. Grupke Kevin W. Hatton |
| author_facet | Amanda L. Faulkner James David Bacon Brian A. Fischer Stephen L. Grupke Kevin W. Hatton |
| author_sort | Amanda L. Faulkner |
| collection | DOAJ |
| description | Extracorporeal membrane oxygenation (ECMO) is an important life-saving technology for patients with severe acute respiratory distress syndrome (ARDS). Unfortunately, ECMO has been traditionally contraindicated in patients with hemorrhagic neurologic diseases. The recent improvement in ECMO devices, increased utilization and experience with venovenous ECMO technologies among healthcare teams, and the use of ECMO without anticoagulation has expanded the potential populations that may benefit from ECMO. We present a case of successful utilization of venovenous ECMO for severe respiratory failure secondary to ARDS in a patient with aneurysmal subarachnoid hemorrhage and severe, episodic cerebral vasospasm. We also discuss important limitations and considerations for future successful use of ECMO in hemorrhagic stroke. This case report highlights the potential for this life-saving technology in patients with hemorrhagic stroke. |
| format | Article |
| id | doaj-art-b441b829016b4ee0a7bc5307faf41c1a |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-b441b829016b4ee0a7bc5307faf41c1a2025-02-03T01:00:26ZengWileyCase Reports in Neurological Medicine2090-66682090-66762019-01-01201910.1155/2019/95374539537453Successful Extracorporeal Membrane Oxygenation (ECMO) Use without Systemic Anticoagulation for Acute Respiratory Distress Syndrome in a Patient with Aneurysmal Subarachnoid HemorrhageAmanda L. Faulkner0James David Bacon1Brian A. Fischer2Stephen L. Grupke3Kevin W. Hatton4Department of Anesthesiology, N-202 UKMC, 800 Rose Street, Lexington, KY 40536, USADepartment of Anesthesiology, N-202 UKMC, 800 Rose Street, Lexington, KY 40536, USADepartment of Anesthesiology, N-202 UKMC, 800 Rose Street, Lexington, KY 40536, USADepartment of Neurosurgery, 800 Rose Street, Lexington, KY 40536, USADepartment of Anesthesiology, N-202 UKMC, 800 Rose Street, Lexington, KY 40536, USAExtracorporeal membrane oxygenation (ECMO) is an important life-saving technology for patients with severe acute respiratory distress syndrome (ARDS). Unfortunately, ECMO has been traditionally contraindicated in patients with hemorrhagic neurologic diseases. The recent improvement in ECMO devices, increased utilization and experience with venovenous ECMO technologies among healthcare teams, and the use of ECMO without anticoagulation has expanded the potential populations that may benefit from ECMO. We present a case of successful utilization of venovenous ECMO for severe respiratory failure secondary to ARDS in a patient with aneurysmal subarachnoid hemorrhage and severe, episodic cerebral vasospasm. We also discuss important limitations and considerations for future successful use of ECMO in hemorrhagic stroke. This case report highlights the potential for this life-saving technology in patients with hemorrhagic stroke.http://dx.doi.org/10.1155/2019/9537453 |
| spellingShingle | Amanda L. Faulkner James David Bacon Brian A. Fischer Stephen L. Grupke Kevin W. Hatton Successful Extracorporeal Membrane Oxygenation (ECMO) Use without Systemic Anticoagulation for Acute Respiratory Distress Syndrome in a Patient with Aneurysmal Subarachnoid Hemorrhage Case Reports in Neurological Medicine |
| title | Successful Extracorporeal Membrane Oxygenation (ECMO) Use without Systemic Anticoagulation for Acute Respiratory Distress Syndrome in a Patient with Aneurysmal Subarachnoid Hemorrhage |
| title_full | Successful Extracorporeal Membrane Oxygenation (ECMO) Use without Systemic Anticoagulation for Acute Respiratory Distress Syndrome in a Patient with Aneurysmal Subarachnoid Hemorrhage |
| title_fullStr | Successful Extracorporeal Membrane Oxygenation (ECMO) Use without Systemic Anticoagulation for Acute Respiratory Distress Syndrome in a Patient with Aneurysmal Subarachnoid Hemorrhage |
| title_full_unstemmed | Successful Extracorporeal Membrane Oxygenation (ECMO) Use without Systemic Anticoagulation for Acute Respiratory Distress Syndrome in a Patient with Aneurysmal Subarachnoid Hemorrhage |
| title_short | Successful Extracorporeal Membrane Oxygenation (ECMO) Use without Systemic Anticoagulation for Acute Respiratory Distress Syndrome in a Patient with Aneurysmal Subarachnoid Hemorrhage |
| title_sort | successful extracorporeal membrane oxygenation ecmo use without systemic anticoagulation for acute respiratory distress syndrome in a patient with aneurysmal subarachnoid hemorrhage |
| url | http://dx.doi.org/10.1155/2019/9537453 |
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