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Title: Case report : A case report of prolonged (71 days) and continuous use of venovenous extracorporeal membrane oxygenation (VV-ECMO) without changing the line and VV-ECMO equipment in progressive respiratory failure after blunt chest injury
Other Titles: รายงานผู้ป่วยที่ต้องใช้เครื่อง VV-ECMO อย่างต่อเนื่องระยะเวลานาน (71 วัน) โดยไม่มีการ เปลี่ยนสายและเครื่อง VV-ECMO ในผู้ป่วยที่มีการหายใจล้มเหลวหลังจากอุบัติเหตุช่อง ทรวงอก
Authors: Niramol Balchon
Noppon Taksaudom
Kaweesak Chittawatanarat
Jarin Phirompaksar
Chartaroon Rimsukcharoenchai
Kamtone Chandacham
Apichat Tantraworasin
Tidarat Jirapongcharoenlap
Narain Chotirosniramit
Issue Date: 2016
Publisher: Faculty of Medicine, Chiang Mai University
Abstract: The use of extracorporeal membrane oxygenation (ECMO) in a trauma setting is a treatment preserved as a rescue therapy for unsuccessful conventional treatment modalities. A 21 year-old male patient was transferred from a secondary hospital after 2 weeks of multiple trauma, due to progressive respiratory failure, with bilateral air leakage of the lung. He received cardiopulmonary resuscitation and high setting of cardiopulmonary support. The venovenous ECMO (VV-ECMO) was initiated after fully conventional therapy failed. The clinical parameters of vital signs, gas exchange, hemodynamics and consciousness were improved after VV-ECMO was initiated. However, he could not tolerate weaning on ECMO. In addition, a massively clotted hemothorax was detected in the left lung 64 days after ECMO. The patient underwent a thoracotomy three times for blood clot removal and to stop the bleeding. Unfortunately, the patient could not tolerate the last operation and he passed away. The total time of VV-ECMO was 71 days without changing the line and equipment, and complications arose. In conclusion, this is a fi rst case in this institute of ECMO initiation in a trauma setting, with the longest duration of VV-ECMO without changing the line and equipment. However, the complications of bleeding and underlying lung pathology resulted in an adverse outcome.
Description: Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec).
ISSN: 0125-5983
Appears in Collections:CMUL: Journal Articles

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