» Articles » PMID: 25590003

Induced Airway Obstruction Under Extracorporeal Membrane Oxygenation During Treatment of Life-threatening Massive Hemoptysis Due to Severe Blunt Chest Trauma

Overview
Journal J Thorac Dis
Specialty Pulmonary Medicine
Date 2015 Jan 16
PMID 25590003
Citations 8
Authors
Affiliations
Soon will be listed here.
Abstract

Simultaneous improvement in respiratory maintenance and bleeding control increases survival of patients with life-threatening hemoptysis. Endobronchial blockade is an effective method and is preferred for emergency hemostasis. However, when the volume of hemoptysis is high, emergency hemostasis and airway maintenance are impossible due to flooding of blood into the airway. We used extracorporeal membrane oxygenation (ECMO) to overcome these limitations in a patient with massive hemoptysis due to severe blunt trauma and succeeded in saving the life by inducing a near-total airway obstruction.

Citing Articles

Extracorporeal membrane oxygenation in critical airway interventional therapy: A review.

Wu H, Zhuo K, Cheng D Front Oncol. 2023; 13:1098594.

PMID: 37051538 PMC: 10083385. DOI: 10.3389/fonc.2023.1098594.


Blush in Lung Contusions Is Not Rare and Has a High Risk of Mortality in Patients With Blunt Chest Trauma.

Tominaga N, Hayakawa M, Yokobori S Front Med (Lausanne). 2022; 9:858511.

PMID: 35755065 PMC: 9218535. DOI: 10.3389/fmed.2022.858511.


Relationship between 30 Days Mortality and Incidence of Intraoperative Cardiac Arrest According to the Timing of ECMO.

Kim T, Lee S, Lee S J Clin Med. 2021; 10(9).

PMID: 34062958 PMC: 8125744. DOI: 10.3390/jcm10091977.


Multivariate Analysis of Risk Factor for Mortality and Feasibility of Extracorporeal Membrane Oxygenation in High-Risk Thoracic Surgery.

Kim D, Park J, Son J, Lee S Ann Thorac Cardiovasc Surg. 2021; 27(2):97-104.

PMID: 33536388 PMC: 8058542. DOI: 10.5761/atcs.oa.20-00224.


Massive pulmonary haemorrhage due to severe trauma treated with repeated alveolar lavage combined with extracorporeal membrane oxygenation: A case report.

Zhang B, Chen X, You Y, Chen M, Yu W World J Clin Cases. 2020; 8(18):4245-4251.

PMID: 33024785 PMC: 7520764. DOI: 10.12998/wjcc.v8.i18.4245.


References
1.
Ried M, Bein T, Philipp A, Muller T, Graf B, Schmid C . Extracorporeal lung support in trauma patients with severe chest injury and acute lung failure: a 10-year institutional experience. Crit Care. 2013; 17(3):R110. PMC: 4056791. DOI: 10.1186/cc12782. View

2.
Yuan K, Fang J, Chen M . Treatment of endobronchial hemorrhage after blunt chest trauma with extracorporeal membrane oxygenation (ECMO). J Trauma. 2008; 65(5):1151-4. DOI: 10.1097/01.ta.0000235492.09223.83. View

3.
Valipour A, Kreuzer A, Koller H, Koessler W, Burghuber O . Bronchoscopy-guided topical hemostatic tamponade therapy for the management of life-threatening hemoptysis. Chest. 2005; 127(6):2113-8. DOI: 10.1378/chest.127.6.2113. View

4.
Bianchini R, Melina G, Benedetto U, Rossi M, Fiorani B, Iasenzaniro M . Extracorporeal membrane oxygenation for Swan-Ganz induced intraoperative hemorrhage. Ann Thorac Surg. 2007; 83(6):2213-4. DOI: 10.1016/j.athoracsur.2007.01.023. View

5.
Freitag L, Tekolf E, Stamatis G, Montag M, Greschuchna D . Three years experience with a new balloon catheter for the management of haemoptysis. Eur Respir J. 1994; 7(11):2033-7. View