• BMJ case reports · Jun 2015

    Case Reports

    Successful application of venoarterial-venous extracorporeal membrane oxygenation in the reversal of severe cardiorespiratory failure.

    • Nao Umei, Shingo Ichiba, Yoshihito Ujike, and Kouhei Tsukahara.
    • Department of Emergency and Critical Care Medicine, Okayama University Hospital, Okayama, Japan.
    • BMJ Case Rep. 2015 Jun 8; 2015.

    AbstractTypical configurations of extracorporeal membrane oxygenation (ECMO) include venovenous (VV) and venoarterial (VA) configurations; however, other configurations of ECMO may be necessary in certain situations. We performed VA ECMO for a 71-year-old man who experienced refractory hypoxaemia associated with a brief cardiac arrest after resection of the small intestine showing necrosis. As the cardiac function improved, the patient showed a complication of poor oxygenation in the upper body due to insufficient respiratory function. Therefore, we performed VA-venous ECMO, which further improved his cardiac function and allowed him to be converted to VV ECMO. It is very important to consider different configuration strategies of ECMO by adjusting the patient's cardiopulmonary conditions appropriately. 2015 BMJ Publishing Group Ltd.

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