Abstract
Background: ECMO has been successfully used to support patients with trauma-induced respiratory failure. Here, we present the successful application of ECMO in a patient with life-threatening polytrauma following a road traffic accident complicated by severe acute respiratory failure. 1 Methods: This is a retrospective case report, and approval for presentation has been obtained from the department and can be submitted upon request. The patient was 20 years old and found at the roadside after being hit by a vehicle. The patient was rushed into the ED by an ambulance, where the trachea was intubated due to the low Glasgow Coma Score. A trauma CT scan revealed severe head injury with possible diffuse axonal injury. The scan also confirmed fractures of the mandible, left transfers process of L3,4,5 and first sacral vertebrae, pelvis and comminuted fracture of the right tibia and fibula. The patient was admitted to the Trauma Intensive Care Unit (TICU). A subsequent head CT scan showed multiple hemorrhagic co...
Highlights
ECMO has been successfully used to support patients with trauma-induced respiratory failure
Throughout the ECMO run, no systemic anticoagulation was used, except the initial 5,000 units heparin administered during cannulation.[4]
ECMO decannulation was performed on day 7 and decannulation of tracheostomy on day 18 of ICU admission with good neurological outcome, and transferred for rehabilitation
Summary
ECMO has been successfully used to support patients with trauma-induced respiratory failure.
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