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The American surgeon · Nov 2010
Case ReportsThe use of extracorporeal membrane oxygenation in severe necrotizing soft tissue infections complicated by septic shock.
- Michael S Firstenberg, Erik Abel, Danielle Blais, Louis B Louis, Steven Steinberg, Chittoor Sai-Sudhakar, Stanley Martin, and Benjamin Sun.
- Division of Cardiothoracic Surgery, The Ohio State University Medical Center, Columbus, Ohio 43212, USA. Michael.firstenberg@osumc.edu
- Am Surg. 2010 Nov 1;76(11):1287-9.
AbstractNecrotizing soft tissue infections remain a challenging clinical problem. Delays in diagnosis, incomplete débridement of necrotic tissues, and the hemodynamic instability and end-organ failure associated with overwhelming sepsis all contribute to significant mortality. Extracorporeal support is a well-established tool to support profound cardiopulmonary failure. To broaden the indications for use, we present two cases of young adults with necrotizing soft tissue infections who sustained sepsis-induced hemodynamic collapse and required extracorporeal support to facilitate adequate tissue débridement as a bridge to recovery.
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