Long-term extracorporeal membrane oxygenation after severe blunt traumatic lung injury in a child

• Main Authors: Ok Jeong Lee, Yang Hyun Cho, Jinwook Hwang, Inae Yoon, Young-Ho Kim, Joongbum Cho
• Format: Article
• Language: English
• Published: Korean Society of Critical Care Medicine 2019-08-01
• Series: Acute and Critical Care
• Subjects: acute respiratory distress syndrome; extracorporeal membrane oxygenation; pediatrics; thoracic injuries
• Online Access: http://www.accjournal.org/upload/pdf/acc-2016-00472.pdf

Managing acute respiratory distress syndrome (ARDS) after severe blunt traumatic lung injury can be challenging. In cases where patients are refractory to conventional therapy, extracorporeal membrane oxygenation (ECMO) should be considered. In addition, the heparin-coated circuit can reduce hemorrhagic complications in patients with multiple traumas. Although prolonged ECMO may be necessary, excellent outcomes are frequently associated. In this study, we report long-term support with venovenous-ECMO applied in a child with severe blunt trauma in Korea. This 10-year-old and 30 kg male with severe blunt thoracic trauma after a car accident developed severe ARDS a few days later, and ECMO was administered for 33 days. Because of pulmonary hemorrhage during ECMO support, heparin was stopped for 3 days and then restarted. He was weaned from ECMO successfully and has been able to run without difficulty for the 2 years since discharge.