PMID- 35909992 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220802 IS - 2090-6420 (Print) IS - 2090-6439 (Electronic) IS - 2090-6420 (Linking) VI - 2022 DP - 2022 TI - Two Venovenous Extracorporeal Membrane Oxygenation for One Gunshot. PG - 1070830 LID - 10.1155/2022/1070830 [doi] LID - 1070830 AB - Venovenous extracorporeal membrane oxygenation (VV-ECMO) is an adjuvant treatment for severe acute respiratory distress syndrome (ARDS) with refractory hypoxemia. Contraindications to therapeutic anticoagulation must be ruled out prior to ECMO implementation. We report the case of a 17-year-old male admitted in intensive care unit (ICU) for penetrating chest trauma due to multiple gunshot wounds. The body computed tomography (body CT scan) documented right pulmonary contusions and a homolateral hemothorax. His condition rapidly deteriorated with refractory hypoxemia due to lung contusion requiring invasive mechanical ventilation (IMV) and polytransfused hemorrhagic shock. During his stay in ICU, venovenous ECMO (VV-ECMO) was implemented twice, firstly for trauma-induced ARDS and secondly after thoracic surgery. This case emphasizes the successful use of VV-ECMO in posttraumatic ARDS without increasing the risk of bleeding. CI - Copyright (c) 2022 Louis Pot et al. FAU - Pot, Louis AU - Pot L AD - Reanimation des Urgences, Timone University Hospital APHM, 13005 Marseille, France. FAU - Porto, Alizee AU - Porto A AD - Cardiac Surgery Department, Timone University Hospital APHM, 13005 Marseille, France. FAU - Le Saux, Audrey AU - Le Saux A AD - Reanimation des Urgences, Timone University Hospital APHM, 13005 Marseille, France. FAU - Bichon, Amandine AU - Bichon A AD - Reanimation des Urgences, Timone University Hospital APHM, 13005 Marseille, France. FAU - Cauchois, Emi AU - Cauchois E AD - Reanimation des Urgences, Timone University Hospital APHM, 13005 Marseille, France. FAU - Gainnier, Marc AU - Gainnier M AUID- ORCID: 0000-0002-5353-9275 AD - Reanimation des Urgences, Timone University Hospital APHM, 13005 Marseille, France. AD - Cardiac Surgery Department, Timone University Hospital APHM, 13005 Marseille, France. FAU - Carvelli, Julien AU - Carvelli J AUID- ORCID: 0000-0003-1305-9805 AD - Reanimation des Urgences, Timone University Hospital APHM, 13005 Marseille, France. FAU - Bourenne, Jeremy AU - Bourenne J AUID- ORCID: 0000-0003-3558-8935 AD - Reanimation des Urgences, Timone University Hospital APHM, 13005 Marseille, France. AD - Center for CardioVascular and Nutrition Research, INSERM, INRAE, Aix-Marseille University, 13005 Marseille, France. LA - eng PT - Case Reports DEP - 20220720 PL - United States TA - Case Rep Crit Care JT - Case reports in critical care JID - 101598416 PMC - PMC9329001 COIS- Authors do not report any conflict of interest. EDAT- 2022/08/02 06:00 MHDA- 2022/08/02 06:01 PMCR- 2022/07/20 CRDT- 2022/08/01 03:23 PHST- 2022/01/10 00:00 [received] PHST- 2022/03/18 00:00 [revised] PHST- 2022/03/28 00:00 [accepted] PHST- 2022/08/01 03:23 [entrez] PHST- 2022/08/02 06:00 [pubmed] PHST- 2022/08/02 06:01 [medline] PHST- 2022/07/20 00:00 [pmc-release] AID - 10.1155/2022/1070830 [doi] PST - epublish SO - Case Rep Crit Care. 2022 Jul 20;2022:1070830. doi: 10.1155/2022/1070830. eCollection 2022.