title: [Extracorporeal membrane oxygenation and severe traumatic brain injury. Is the ECMO-therapy in traumatic lung failure and severe traumatic brain injury really contraindicated?].
abstract: Veno-venous extracorporeal membrane oxygenation (ECMO) may be lifesaving in multiple injured patients with acute respiratory distress syndrome (ARDS) due to chest trauma. To prevent circuit thrombosis or thromboembolic complications during ECMO systemic anticoagulation is recommended. Therefore, ECMO treatment is contraindicated in patients with intracranial bleeding. The management of veno-venous ECMO without systemic anticoagulation in a patient suffering from traumatic lung failure and severe traumatic brain injury is reported.
authors.affiliation: Klinik und Poliklinik für Anästhesiologie, Zentrum Operative Medizin, Unversitätsiklinikum Würzburg, Oberdürrbacherstrasse 6, Würzburg, Germany. Muellenbac_r@klinik.uni-wuerzburg.de
authors.forename: R M
authors.initials: RM
authors.lastname: Muellenbach
authors.forename: A
authors.initials: A
authors.lastname: Redel
authors.forename: J
authors.initials: J
authors.lastname: Küstermann
authors.forename: A
authors.initials: A
authors.lastname: Brack
authors.forename: A
authors.initials: A
authors.lastname: Gorski
authors.forename: T
authors.initials: T
authors.lastname: Rösner
authors.forename: N
authors.initials: N
authors.lastname: Roewer
authors.forename: T
authors.initials: T
authors.lastname: Wurmb
mesh_terms: D001930:Brain Injuries / Q000628:therapy*; D020202:Cerebral Hemorrhage, Traumatic / Q000150:complications / Q000628:therapy; D000075202:Contraindications; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D055370:Lung Injury / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D013902:Radiography, Thoracic; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy; D013927:Thrombosis / Q000209:etiology / Q000517:prevention & control; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000628:therapy