1. The serial connection of two extracorporeal membrane oxygenators for patient with refractory hypoxemia
- Author
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Jae Jun Jung, Sung Dae Lim, Joung Hun Byun, Jun Ho Yang, Sung Hwan Kim, Won Do Heo, Chung Eun Lee, Jong Woo Kim, Seong Ho Moon, Dong Hoon Kang, Jun Young Choi, and Ho Jeong Cha
- Subjects
Pulmonary and Respiratory Medicine ,Membrane oxygenators ,business.industry ,medicine.medical_treatment ,Acute respiratory distress ,Critical Care and Intensive Care Medicine ,Extracorporeal ,respiratory tract diseases ,Hypoxemia ,surgical procedures, operative ,Refractory ,Anesthesia ,Extracorporeal membrane oxygenation ,medicine ,Ventilator settings ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Hypercapnia ,circulatory and respiratory physiology - Abstract
A 34-year-old man developed severe hypoxemia and hypercapnia due to acute respiratory distress during ventilator care after surgery with acute intracranial hemorrhage. Severe hypoxemia had not been corrected even with maximum extracorporeal membrane oxygenation (ECMO) flow and full ventilator settings. We applied a novel technique for the serial connection of two veno-venous ECMO circuits for optimal oxygen delivery and CO2 removal and could wean VV ECMO. The use of serial connection of two VV ECMO circuits may be considered worthwhile when severe hypoxemia or hypercapnia are not improved and the use of protective ventilators is not permitted.
- Published
- 2021
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