[Polytrauma with severe lung contusion. Early use of extracorporeal membrane oxygenation].
Extracorporeal membrane oxygenation (ECMO) is a technique for sustaining body oxygenation in case of respiratory failure. Since ECMO technology has undergone improvements resulting in better hemo-compatibility and reduced side effects, venovenous ECMO is a mostly accepted treatment of adult respiratory distress syndrome (ARDS). One should discuss the early initiation of ECMO therapy for post-traumatic respiratory failure. We report about a 23-year-old male and a 15-year-old female patient, who suffered polytrauma and received early treatment with ECMO because of severe lung contusion.
Sobottke
R
R
Klinik und Poliklinik für Orthopädie der Universität zu Köln, 50924 Köln, Deutschland. sobottke@gmx.de
Friese
J
J
Ozokyay
L
L
Muhr
G
G
Wick
M
M
D000058:Accidental Falls; D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D003288:Contusions / Q000150:complications; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000150:complications; D006468:Hemopneumothorax / Q000150:complications; D006491:Hemothorax / Q000150:complications; D006801:Humans; D007362:Intensive Care Units; D055370:Lung Injury; D008297:Male; D009104:Multiple Trauma / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy*; D013898:Thoracic Injuries / Q000150:complications; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome