Application of Hybrid Extracorporeal Membrane Oxygenation for the Treatment of Subsequent Shock following Acute Respiratory Distress Syndrome Developing after Firearm Injury

Yahya Yildiz; Didem Melis Oztas; Mustafa Ozer Ulukan; Korhan Erkanli; Orcun Unal; Murat Ugurlucan; Halil Turkoglu

doi:10.1155/2019/3120912

Application of Hybrid Extracorporeal Membrane Oxygenation for the Treatment of Subsequent Shock following Acute Respiratory Distress Syndrome Developing after Firearm Injury

Case Rep Med. 2019 Dec 4:2019:3120912. doi: 10.1155/2019/3120912. eCollection 2019.

Authors

Yahya Yildiz¹, Didem Melis Oztas², Mustafa Ozer Ulukan³, Korhan Erkanli³, Orcun Unal⁴, Murat Ugurlucan³, Halil Turkoglu³

Affiliations

¹ Istanbul Medipol University Medical Faculty, Department of Anesthesiology, Istanbul, Turkey.
² Bagcilar Training and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey.
³ Istanbul Medipol University Medical Faculty, Department of Cardiovascular Surgery, Istanbul, Turkey.
⁴ Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, Cardiovascular Surgery Clinic, Istanbul, Turkey.

Abstract

The use of extracorporeal membrane oxygenation (ECMO) in acute respiratory distress syndrome (ARDS) and cardio-circulatory shock has been widely accepted. In recent years, a variety of novel and exceptional indications for ECMO have been proposed; however, experience with ECMO use in the presence of multiple penetrating injuries is limited. In this report, we present successful ECMO application in a patient with multiple firearm injuries. Veno-venous ECMO was applied for ARDS and converted to the venoarterial mode when the patient developed septic cardiomyopathy. The clinical status of the patient gradually improved, and the patient was discharged from the hospital after 24 days, successfully.

Publication types

Case Reports