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J Thorac Cardiovasc Surg 2007;133:1673-1674
© 2007 The American Association for Thoracic Surgery

Brief Communication

Extracorporeal membrane oxygenation in respiratory failure for pulmonary contusion and bronchial disruption after trauma

^a Department of General Thoracic Surgery, Hospital of Cuneo, Cuneo, Italy
^b Department of Cardiac Surgery, Hospital of Cuneo, Cuneo, Italy
^c Department of Cardiovascular Anesthesia and Intensive Care, Hospital of Cuneo, Cuneo, Italy.

Received for publication January 17, 2007; accepted for publication February 17, 2007.

^_* Address for reprints: Andrea Campione, MD, Hospital of Cuneo, General Thoracic Surgery, Via Michele Coppino 26, Cuneo 12100, Italy. (Email: andikampione@yahoo.it).

The first 20% of the full text of this article appears below.

Extracorporeal membrane oxygenation (ECMO) may offer lifesaving treatment in severe pulmonary contusion or acute respiratory distress syndrome when conventional treatments have failed.^1,2

Although ECMO has become the standard treatment for neonatal severe respiratory failure, interest in adult ECMO weakened because of the high mortality until investigators³ began dictating that it should be used in children and in adult respiratory failure.

Use in trauma is restricted^4,5 because of the risk of systemic anticoagulation in patients with multiple trauma.

Clinical Summary

A 14-year-old boy experienced a serious blunt thoracic trauma during a go-cart race.

On admission to the emergency department, he was awake and spontaneously breathing but dyspneic with hemoptysis and severe hypoxemia (SAO ₂ < 50%). As soon . . . [Full Text of this Article]

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