Author/Authors :
Lee, Ok Jeong Department of Pediatrics - Gyeongsang National University Changwon Hospital - Gyeongsang National University College of Medicine - Changwon, Korea , Cho, Yang Hyun Department of Thoracic and Cardiovascular Surgery - Samsung Medical Center - Sungkyunkwan University School of Medicine - Seoul, Korea , Hwang, Jinwook Department of Thoracic and Cardiovascular Surgery - Korea University Ansan Hospital - Korea University College of Medicine - Ansan, Korea , Yoon, Inae Department of Pediatrics - Gyeongsang National University Changwon Hospital - Gyeongsang National University College of Medicine - Changwon, Korea , Kim, Young-Ho Department of Pediatrics - Gyeongsang National University Changwon Hospital - Gyeongsang National University College of Medicine - Changwon, Korea , Cho, Joongbum Department of Critical Care Medicine - Samsung Medical Center - Sungkyunkwan University School of Medicine - Seoul, Korea
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.
Keywords :
acute respiratory distress syndrome , extracorporeal membrane oxygenation , pediatrics , thoracic injuries
