title: Extracorporeal membrane oxygenation with double venous drainage.
abstract: We report on a successful configuration strategy of extracorporeal membrane oxygenation(ECMO) in two consecutive cases of acute lung injury. A 60-year-old woman with Streptococcus pneumoniae infection and a 22-year-old man with hemothorax were admitted to our hospital with failing lungs. Although treatment with a ventilator was started, oxygenation could not be maintained. ECMO with a femoro-femoral circuit was performed, which showed a slight improvement in oxygenation. However, not enough oxygen support was provided. To minimize the venous mixture at the right atrium, we added venous drainage from the right jugular vein which resulted in better oxygenation and patient survival.
authors: Department of Cardiovascular Surgery, Fujigaoka Hospital, Showa University, Yokohama, Kanagawa, Japan.
authors: Daijiro
authors: D
authors: Hori
authors: Kenichiro
authors: K
authors: Noguchi
authors: Yohei
authors: Y
authors: Nomura
authors: Hiroyuki
authors: H
authors: Tanaka
mesh_terms: D055371:Acute Lung Injury / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D000328:Adult; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D005268:Femoral Vein / Q000503:physiopathology*; D006439:Hemodynamics; D006801:Humans; D007601:Jugular Veins / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D012039:Regional Blood Flow; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000503:physiopathology*; D014683:Vena Cava, Superior / Q000503:physiopathology*