• Clin Neurol Neurosurg · Mar 2008

    Case Reports

    Extracorporeal membrane oxygenation resuscitation for traumatic brain injury after decompressive craniotomy.

    • Ting-Shan Yen, Chun-Chih Liau, Yih-Sharng Chen, and Anne Chao.
    • Department of Anesthesiology, National Taiwan University Hospital, No. 7, Chung-Shan South Road, 100 Taipei, Taiwan.
    • Clin Neurol Neurosurg. 2008 Mar 1;110(3):295-7.

    AbstractAcute cardiopulmonary failure in patients with increased intracranial pressure is a significant management challenge to physicians. We report on a 21-year-old patient with traumatic brain injury who developed intractable hypoxemia and hypotension after undergoing a decompressive craniotomy. Venoarterial extracorporeal membrane oxygenation was initiated to resuscitate the patient. Extracorporeal membrane oxygenation is considered contraindicated in patients with intracranial bleeding because systemic heparin is needed during the support of extracorporeal membrane oxygenation. We describe our successful experience in tackling this dilemma.

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