Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Jul 20:2022:1070830.
doi: 10.1155/2022/1070830. eCollection 2022.

Two Venovenous Extracorporeal Membrane Oxygenation for One Gunshot

Louis Pot  1 , Alizée Porto  2 , Audrey Le Saux  1 , Amandine Bichon  1 , Emi Cauchois  1 , Marc Gainnier  1   2 , Julien Carvelli  1 , Jeremy Bourenne  1   3
Affiliations
Case Reports

Two Venovenous Extracorporeal Membrane Oxygenation for One Gunshot

Louis Pot et al. Case Rep Crit Care. .

Abstract

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.

PubMed Disclaimer

Conflict of interest statement

Authors do not report any conflict of interest.

References

    1. Combes A., Hajage D., Capellier G., et al. Extracorporeal membrane oxygenation for severe acute respiratory distress syndrome. New England Journal of Medicine . 2018;378(21):1965–1975. doi: 10.1056/NEJMoa1800385. - DOI - PubMed
    1. Raff L., Kerby J. D., Reiff D., et al. Use of extracorporeal membranous oxygenation in the management of refractory trauma-related severe acute respiratory distress syndrome: a national survey of the Eastern Association for the Surgery of Trauma. Trauma Surgery & Acute Care Open . 2019;4(1):p. e000341. doi: 10.1136/tsaco-2019-000341. - DOI - PMC - PubMed
    1. Yildiz Y., Oztas D. M., Ulukan M. O., et al. Application of hybrid extracorporeal membrane oxygenation for the treatment of subsequent shock following acute respiratory distress syndrome developing after firearm injury. Case Reports in Medicine . 2019;2019:3120914. doi: 10.1155/2019/3120912. - DOI - PMC - PubMed
    1. Chen Y. S., Lin J. W., Yu H. Y., et al. Cardiopulmonary resuscitation with assisted extracorporeal life-support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest: an observational study and propensity analysis. The Lancet . 2008;372(9638):554–561. - PubMed
    1. Papazian L., Forel J. M., Gacouin A., et al. Neuromuscular blockers in early acute respiratory distress syndrome. New England Journal of Medicine . 2010;363(12):1107–1116. - PubMed

Publication types

LinkOut - more resources