Prolonged use of extracorporeal membrane oxygenation as a rescue modality following traumatic brain injury

Jonathan A. Messing, Ritesh V. Agnihothri, Rachel Van Dusen, Farzad Najam, James R. Dunne, Jacqueline R. Honig, Babak Sarani

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

A 21-year-old male trauma patient presented after a motor vehicle crash, witnessed massive aspiration and sustained traumatic brain injury. On postinjury day 3, the patient progressed to adult respiratory distress syndrome (ARDS) refractory to all conventional therapies, prompting the use of extracorporeal membrane oxygenation (ECMO). After 5 days of ECMO support and 3 thrombosed oxygenators, systemic anticoagulation was initiated. After 20 days of ECMO, 15 of which required systemic anticoagulation, the patient was decannulated and transferred to a rehabilitation facility. The patient is currently home without any neurological deficits. Although controversial, ECMO may serve a role as a rescue therapy in ARDS when conventional therapies fail in the brain-injured patient.

Original languageEnglish (US)
Pages (from-to)597-599
Number of pages3
JournalASAIO Journal
Volume60
Issue number5
DOIs
StatePublished - 2014
Externally publishedYes

Keywords

  • Adult respiratory distress syndrome
  • Anticoagulation
  • Extracorporeal membrane oxygenation
  • Traumatic brain injury

ASJC Scopus subject areas

  • Biophysics
  • Bioengineering
  • Biomaterials
  • Biomedical Engineering

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