[Extracorporeal membrane oxygenation and severe traumatic brain injury. Is the ECMO-therapy in traumatic lung failure and severe traumatic brain injury really contraindicated?]

R M Muellenbach; A Redel; J Küstermann; A Brack; A Gorski; T Rösner; N Roewer; T Wurmb

doi:10.1007/s00101-011-1872-5

[Extracorporeal membrane oxygenation and severe traumatic brain injury. Is the ECMO-therapy in traumatic lung failure and severe traumatic brain injury really contraindicated?]

Anaesthesist. 2011 Jul;60(7):647-52. doi: 10.1007/s00101-011-1872-5. Epub 2011 Mar 16.

[Article in German]

Authors

R M Muellenbach¹, A Redel, J Küstermann, A Brack, A Gorski, T Rösner, N Roewer, T Wurmb

Affiliation

¹ Klinik und Poliklinik für Anästhesiologie, Zentrum Operative Medizin, Unversitätsiklinikum Würzburg, Oberdürrbacherstrasse 6, Würzburg, Germany. [email protected]

PMID: 21424309
DOI: 10.1007/s00101-011-1872-5

Abstract

Veno-venous extracorporeal membrane oxygenation (ECMO) may be lifesaving in multiple injured patients with acute respiratory distress syndrome (ARDS) due to chest trauma. To prevent circuit thrombosis or thromboembolic complications during ECMO systemic anticoagulation is recommended. Therefore, ECMO treatment is contraindicated in patients with intracranial bleeding. The management of veno-venous ECMO without systemic anticoagulation in a patient suffering from traumatic lung failure and severe traumatic brain injury is reported.

Publication types

Case Reports
Review

MeSH terms

Brain Injuries / therapy*
Cerebral Hemorrhage, Traumatic / complications
Cerebral Hemorrhage, Traumatic / therapy
Contraindications
Extracorporeal Membrane Oxygenation* / adverse effects
Fractures, Bone / diagnostic imaging
Fractures, Bone / therapy
Humans
Lung Injury / therapy*
Male
Middle Aged
Radiography, Thoracic
Respiratory Distress Syndrome / etiology
Respiratory Distress Syndrome / therapy
Thrombosis / etiology
Thrombosis / prevention & control
Tomography, X-Ray Computed
Treatment Outcome
Wounds and Injuries / therapy