Open AccessThe use of veno‐venous extracorporeal membrane oxygenation for massive hemoptysis following a traumatic lung injury: a case report
Author(s) -
Sugiyama Takuya,
Ishida Tokiya,
Yokoyama Hideyuki,
Kumada Yoshibumi,
Shinohara Kazuaki
Publication year - 2020
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.492
Subject(s) - medicine , extracorporeal membrane oxygenation , hypoxemia , lung , anesthesia , mechanical ventilation , surgery , lumen (anatomy)
Background Published reports regarding the use of veno‐venous extracorporeal membrane oxygenation (V‐V ECMO) for massive hemoptysis following a thoracic injury are still scarce. Case Presentation A 34‐year‐old man developed massive hemoptysis from the right lung after a 2 m fall and being compressed with an iron pipe weighing 500 kg. He was immediately intubated using a double‐lumen tube, and one‐lung ventilation was started. Endotracheal hemorrhage was controlled by sealing the right lumen. V‐V ECMO was initiated to endure the lethal hypoxemia while waiting for the right lung to heal. He came off of V‐V ECMO after 17 days and was discharged on foot on day 46. Conclusion The strategy of using V‐V ECMO in combination with one‐lung ventilation is useful and should be strongly considered to save lethal massive hemoptysis cases following traumatic lung injury.