Citation

Lee OJ, Cho YH, Hwang J, Yoon I, Kim YH, Cho J. Acute Crit. Care 2019; 34(3): 223-227.

Affiliation

Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Copyright

(Copyright © 2019, Korean Society of Critical Care Medicine)

DOI

10.4266/acc.2016.00472

PMID

31723933

PMCID

PMC6849020

Abstract

Managing acute respiratory distress syndrome (ARDS) after severe blunt traumatic lung injury can be challenging. In cases where patients are refractory to conventional therapy, extracorporeal membrane oxygenation (ECMO) should be considered. In addition, the heparin-coated circuit can reduce hemorrhagic complications in patients with multiple traumas. Although prolonged ECMO may be necessary, excellent outcomes are frequently associated. In this study, we report long-term support with venovenous-ECMO applied in a child with severe blunt trauma in Korea. This 10-year-old and 30 kg male with severe blunt thoracic trauma after a car accident developed severe ARDS a few days later, and ECMO was administered for 33 days. Because of pulmonary hemorrhage during ECMO support, heparin was stopped for 3 days and then restarted. He was weaned from ECMO successfully and has been able to run without difficulty for the 2 years since discharge.

Copyright © 2019 The Korean Society of Critical Care Medicine.

Language: en

Keywords

acute respiratory distress syndrome; extracorporeal membrane oxygenation; pediatrics; thoracic injuries