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[Pulmonary resection and ECMO: A salvage therapy for penetrating lung trauma].
- Source :
-
Annales francaises d'anesthesie et de reanimation [Ann Fr Anesth Reanim] 2012 Jul-Aug; Vol. 31 (7-8), pp. 641-3. Date of Electronic Publication: 2012 Jul 04. - Publication Year :
- 2012
-
Abstract
- The majority of chest penetrating trauma patients are successfully managed with tube thoracostomy and general supportive measures. Pulmonary resection for hemorrhagic shock is rarely required after trauma to control bleeding. Both pulmonary injury and massive blood transfusion can lead to acute respiratory distress syndrome (ARDS). The mortality rate in these patients reaches up to 40% despite advanced ventilatory treatment. The use of extracorporeal membrane oxygenation (ECMO) can be started as rescue therapy. We report a case of 24-year-old man with major hemorrhagic shock with cardiac arrest and ARDS after traumatic penetrating lung injury that was successfully treated with pulmonary resection and ECMO.<br /> (Copyright © 2012 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.)
- Subjects :
- Blood Transfusion, Autologous
Combined Modality Therapy
Epinephrine therapeutic use
Heart Arrest etiology
Heart Arrest therapy
Hemothorax etiology
Humans
Intraoperative Complications etiology
Intraoperative Complications therapy
Lung Injury complications
Male
Respiratory Distress Syndrome etiology
Respiratory Distress Syndrome therapy
Salvage Therapy
Shock, Hemorrhagic etiology
Shock, Hemorrhagic therapy
Thoracotomy
Transfusion Reaction
Wounds, Gunshot complications
Young Adult
Extracorporeal Membrane Oxygenation
Hemostasis, Surgical methods
Lung Injury surgery
Pneumonectomy methods
Wounds, Gunshot surgery
Subjects
Details
- Language :
- French
- ISSN :
- 1769-6623
- Volume :
- 31
- Issue :
- 7-8
- Database :
- MEDLINE
- Journal :
- Annales francaises d'anesthesie et de reanimation
- Publication Type :
- Academic Journal
- Accession number :
- 22766464
- Full Text :
- https://doi.org/10.1016/j.annfar.2012.03.010