• A&A practice · Jul 2018

    Case Reports

    Treatment of Refractory Intraoperative Hypoxemia After Trauma With Venovenous Extracorporeal Membrane Oxygenation: A Case Report.

    • Jack Louro, John J Weir, Nicolas A Brozzi, and Roman Dudaryk.
    • From the Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami, Miami, Florida.
    • A A Pract. 2018 Jul 15; 11 (2): 41-45.

    AbstractExtracorporeal membrane oxygenation has emerged as a treatment of choice for refractory hypoxemia in the intensive care unit. Severe hypoxemia unresponsive to conventional lung-protective mechanical ventilation could also occur in the operating room from severe bronchospasm, pulmonary contusions, or acute respiratory distress syndrome. We report a case of acute hypoxic respiratory failure in an adolescent with blunt chest trauma that was successfully managed with the intraoperative initiation of venovenous extracorporeal membrane oxygenation during the initial damage control surgery.

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