PMID- 35784963
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 14
IP  - 6
DP  - 2022 Jun
TI  - Hemostatic Achievement After Introduction of Venovenous Extracorporeal Membrane 
      Oxygenation for Severe Multiple Trauma: A Case Study.
PG  - e25560
LID - 10.7759/cureus.25560 [doi]
LID - e25560
AB  - Venovenous extracorporeal membrane oxygenation (VV-ECMO) is indicated for 
      patients with severe respiratory failure who cannot be managed with a ventilator. 
      We report a case of severe chest trauma with an injury severity score of 66, in 
      which hemostasis was achieved after VV-ECMO. A 29-year-old male patient sustained 
      a fall injury from a 4-m cliff. The fall resulted in significant traumatic 
      cerebral hemorrhage, bilateral pulmonary contusion, hemothorax, pelvic fracture, 
      and limb fracture. During transcatheter arterial embolization, the patient 
      continued to bleed from the left lung and showed progressive hypoxemia. In 
      addition, the patient was unable to maintain tidal volume and experienced 
      hypercapnia, and thus, VV-ECMO was introduced, followed by a thoracotomy to stop 
      the bleeding. On the third day of hospitalization, the patient was weaned off 
      VV-ECMO, and on day 35, he was transferred to a rehabilitation hospital for 
      recovery. VV-ECMO may serve as a "bridge" until hemostatic maneuvers for severe 
      chest trauma are completed and may contribute to help ensure adequate 
      respiration.
CI  - Copyright (c) 2022, Michishita et al.
FAU - Michishita, Takahiro
AU  - Michishita T
AD  - Department of Emergency Medicine, Yokosuka Kyosai Hospital, Yokosuka, JPN.
FAU - Nakajima, Kento
AU  - Nakajima K
AD  - Department of Emergency Medicine, Yokosuka Kyosai Hospital, Yokosuka, JPN.
FAU - Doi, Tomoki
AU  - Doi T
AD  - Department of Emergency Medicine, Yokosuka Kyosai Hospital, Yokosuka, JPN.
FAU - Mori, Kurumi
AU  - Mori K
AD  - Department of Emergency Medicine, Yokosuka Kyosai Hospital, Yokosuka, JPN.
FAU - Takeuchi, Ichiro
AU  - Takeuchi I
AD  - Advanced Critical Care and Emergency Center, Yokohama City University Medical 
      Center, Yokohama, JPN.
LA  - eng
PT  - Case Reports
DEP - 20220601
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC9249368
OTO - NOTNLM
OT  - chest trauma
OT  - hemostatic achievement
OT  - multiple trauma
OT  - severe trauma
OT  - venovenous extracorporeal membrane oxygenation
COIS- The authors have declared that no competing interests exist.
EDAT- 2022/07/06 06:00
MHDA- 2022/07/06 06:01
PMCR- 2022/06/01
CRDT- 2022/07/05 10:32
PHST- 2022/05/31 00:00 [accepted]
PHST- 2022/07/05 10:32 [entrez]
PHST- 2022/07/06 06:00 [pubmed]
PHST- 2022/07/06 06:01 [medline]
PHST- 2022/06/01 00:00 [pmc-release]
AID - 10.7759/cureus.25560 [doi]
PST - epublish
SO  - Cureus. 2022 Jun 1;14(6):e25560. doi: 10.7759/cureus.25560. eCollection 2022 Jun.