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Successful case of veno-venous extracorporeal membrane oxygenation in an abdominal trauma patient - A case report -
Anesth Pain Med 2019;14(1):48-53
Published online January 31, 2019
© 2019 Korean Society of Neuroscience in Anesthesiology and Critical Care.

Jun Hyun Kim , Ji Yeon Kim , and Sunghyeok Park
Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
Correspondence to: Ji Yeon Kim, M.D., Ph.D. Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, 170 Juhwa-ro, Ilsanseo-gu, Goyang 10380, Korea Tel: 82-31-910-7160 Fax: 82-31-910-7184 E-mail: jy67925@naver.com
Received April 30, 2018; Revised July 14, 2018; Accepted July 16, 2018.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract

A 37–year-old male visited the hospital with multiple trauma after traffic accident. Fractures of ribs, left femur, and right humerus and spleen rupture with hemoperitoneum were founded on image studies. He was moved to operation room and general anesthesia was performed for splenectomy. During the operation, excessive high peak inspiratory pressure was observed. After abdominal closure, hypoxia, hypercapnia, and respiratory acidosis were worsened. Veno-venous extracorporeal membrane oxygenation (ECMO) was initiated after the operation. Status of the patient were improved after the application of ECMO. The patient was discharged without significant complication. Despite of several limitations in applying ECMO to patients with abdominal compartment syndrome (ACS) and multiple trauma, severe pulmonary dysfunction in ACS patients may be rescued without open abdomen treatment.

Key Words : Adult respiratory distress syndrome, Extracorporeal membrane oxygenation, Hemoperitoneum, Intra-abdominal hypertension, Multiple trauma


July 2019, 14 (3)
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