title: Successful use of extracorporeal life support after double traumatic tracheobronchial injury in a patient with severe acute asthma.
abstract: We report the case of an asthmatic patient with blunt trachea and left main bronchus injuries who developed acute severe asthma after surgical repair. Despite medical treatment and ventilatory support, asthma persisted with high airway pressures and severe respiratory acidosis. We proposed venovenous extracorporeal life support for CO(2) removal which allowed arterial blood gas normalization and airway pressures decrease. Extracorporeal life support was removed on day five after medical treatment of acute severe asthma. So we report the successful use of extracorporeal life support for operated double blunt tracheobronchial injury with acute severe asthma.
authors.affiliation: Department of Anesthesia and Intensive Care, Centre Hospitalier Régional et Université de Caen Basse Normandie, Avenue Cote de Nacre, 14033 CAEN Cedex, France.
authors.forename: Xavier
authors.initials: X
authors.lastname: Valette
authors.forename: Aurélie
authors.initials: A
authors.lastname: Desjouis
authors.forename: Massimo
authors.initials: M
authors.lastname: Massetti
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Hanouz
authors.forename: Philippe
authors.initials: P
authors.lastname: Icard