title: Extracorporeal membrane oxygenation as a support for emergency bronchial reconstruction in a traumatic patient with severe hypoxaemia.
abstract: Extracorporeal membrane oxygenation (ECMO) is an extracorporeal life support technique to provide cardiac and/or respiratory assistance to patients. ECMO has been demonstrated to be beneficial for the life support of selected traumatic individuals. However, the application of arteriovenous ECMO as an intraoperative support strategy in emergency operations has rarely been described. The presented case involves a 31-year old male who sustained a right bronchial rupture and other multiple injuries in a car accident. His right main bronchus was sewn completely closed during the first operation in a local hospital, and he developed refractory hypoxaemia and haemodynamic instability. Although general anaesthesia was not applicable, arteriovenous ECMO was applied as a support to perform the second operation to reconstruct successfully his right main bronchus. As a result, he recovered from this injury.
authors.affiliation: Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
authors.forename: Chengwu
authors.initials: C
authors.lastname: Liu
authors.affiliation: Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
authors.forename: Yidan
authors.initials: Y
authors.lastname: Lin
authors.affiliation: Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Du
authors.affiliation: Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China lunxu_liu@aliyun.com.
authors.forename: Lunxu
authors.initials: L
authors.lastname: Liu
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001980:Bronchi / Q000293:injuries / Q000601:surgery*; D001995:Bronchography / Q000379:methods; D004630:Emergencies; D015199:Extracorporeal Membrane Oxygenation; D006439:Hemodynamics; D006801:Humans; D000860:Hypoxia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D009104:Multiple Trauma / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D019651:Plastic Surgery Procedures; D012086:Reoperation; D012421:Rupture; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Extracorporeal membrane oxygenation; Operation; Trauma