Citation Information :
Solanki V, Mehta A, Jhawar S. Veno-venous Extracorporeal Membrane Oxygenation in Severe Blunt Thoracic Trauma: A Case Report from India. 2022; 1 (3):79-81.
Introduction: In recent studies, veno-venous extracorporeal membrane oxygenation (VV ECMO) has been used to salvage blunt thoracic trauma patients with severe acute respiratory distress syndrome (ARDS), by providing required oxygenation in precarious scenarios. No such cases were found to be reported from Indian hospitals, and hence, we submit the following case.
Case: A 30-year-old gentleman suffered blunt thoracic trauma. He presented with left side flail chest, with extensive bilateral contusions, and bilateral hemopneumothorax with extensive surgical emphysema. Initially, the patient was managed on invasive mechanical ventilation as per ARDS net protocol. However, the patient's oxygenation did not improve and he was required to be put on VV ECMO as per extracorporeal life support indications. Thereafter, he was weaned from VV ECMO on day 5 and later on, from mechanical ventilation. He was discharged from the hospital on day 30.
Conclusion: Veno-venous extracorporeal membrane oxygenation (VV ECMO) is safe to use in severe ARDS patients who are not responding to oxygenation on mechanical ventilation.
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