JOURNAL ARTICLE

Hybrid extracorporeal membrane oxygenation (ECMO) cannulation following traumatic pneumonectomy: A case report.

Published In: Trauma, 2023, v. 25, n. 1. P. 78 1 of 3
Database: Academic Search Ultimate 2 of 3
Authored By: Conhaim, Jay I; Levinsky, Nick C; Barger, Paige L; Palomino, Heather L 3 of 3

Abstract

This article focuses on the use of extracorporeal membrane oxygenation (ECMO) and hybrid cannulation strategies in managing a 28-year-old man who developed right heart failure following traumatic pneumonectomy after a motorcycle crash. Initially supported with veno-arterial (VA) ECMO for cardiac failure, the patient was transitioned to veno-arteriovenous (VAV) ECMO due to persistent hypoxemia, which led to left leg ischemia requiring thrombectomy and fasciotomy. Ultimately, recovery of right heart function allowed conversion to veno-venous (VV) ECMO and successful decannulation. The case illustrates the adaptability of hybrid ECMO configurations in complex post-operative cardiopulmonary failure but also highlights significant risks such as limb ischemia associated with multiple cannulation sites.

Additional Information

Source:Trauma. 2023/01, Vol. 25, Issue 1, p78
Document Type:Article
Subject Area:Health and Medicine
Publication Date:2023
ISSN:1460-4086
DOI:10.1177/14604086211055288
Accession Number:162201970
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