ECMO for paediatric cardiac arrest caused by bronchial rupture and severe lung injury: a case report about life-threatening rescue at an adult ECMO centre
Abstract Background Bronchial rupture in children is a rare but dangerous complication after chest trauma and is associated with increased mortality. Veno-venous (V-V) extracorporeal membrane oxygenation (ECMO) is reported as one of the treatments for this life-threatening complication. Case present...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-022-01856-0 |
| _version_ | 1811247887904931840 |
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| author | Xiaoqiong Chu Weibiao Chen Yafei Wang Luqi Zhu Mengqin Zhang Sheng Zhang |
| author_facet | Xiaoqiong Chu Weibiao Chen Yafei Wang Luqi Zhu Mengqin Zhang Sheng Zhang |
| author_sort | Xiaoqiong Chu |
| collection | DOAJ |
| description | Abstract Background Bronchial rupture in children is a rare but dangerous complication after chest trauma and is associated with increased mortality. Veno-venous (V-V) extracorporeal membrane oxygenation (ECMO) is reported as one of the treatments for this life-threatening complication. Case presentation A 4-year-old boy with bronchial rupture and traumatic wet lung complicated by cardiac arrest after chest trauma was admitted to an adult ECMO centre. He experienced two cardiac arrests, one before and one during the operation. The total duration of cardiac arrest was 30 min. V-V ECMO was initiated because of severe hypoxia and hypercapnia during the operation. ECMO was performed for 6 days, and mechanical ventilation lasted 11 days. On the 31st day after surgery, he had recovered completely and was discharged without neurological deficit. Conclusion V-V ECMO can be considered for supportive care in children with severe acute respiratory failure after bronchial rupture. In an emergency, V-V ECMO can be carried out effectively in a qualified and experienced adult ECMO centre. However, the application of ECMO in children is different from that in adults and requires more refined management. |
| first_indexed | 2024-04-12T15:17:24Z |
| format | Article |
| id | doaj.art-534cf02fc0d147c4b211c76b3e4b5207 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-12T15:17:24Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-534cf02fc0d147c4b211c76b3e4b52072022-12-22T03:27:35ZengBMCJournal of Cardiothoracic Surgery1749-80902022-06-011711510.1186/s13019-022-01856-0ECMO for paediatric cardiac arrest caused by bronchial rupture and severe lung injury: a case report about life-threatening rescue at an adult ECMO centreXiaoqiong Chu0Weibiao Chen1Yafei Wang2Luqi Zhu3Mengqin Zhang4Sheng Zhang5Department of Critical Care Medicine, Taizhou Hospital of Zhejiang Province, Wenzhou Medical UniversityDepartment of Emergency Medicine, Tiantai County Hospital of Chinese MedicineDepartment of Critical Care Medicine, Taizhou Hospital of Zhejiang Province, Wenzhou Medical UniversityDepartment of Critical Care Medicine, Taizhou Hospital of Zhejiang Province, Wenzhou Medical UniversityDepartment of Critical Care Medicine, Taizhou Hospital of Zhejiang Province, Wenzhou Medical UniversityDepartment of Critical Care Medicine, Taizhou Hospital of Zhejiang Province, Wenzhou Medical UniversityAbstract Background Bronchial rupture in children is a rare but dangerous complication after chest trauma and is associated with increased mortality. Veno-venous (V-V) extracorporeal membrane oxygenation (ECMO) is reported as one of the treatments for this life-threatening complication. Case presentation A 4-year-old boy with bronchial rupture and traumatic wet lung complicated by cardiac arrest after chest trauma was admitted to an adult ECMO centre. He experienced two cardiac arrests, one before and one during the operation. The total duration of cardiac arrest was 30 min. V-V ECMO was initiated because of severe hypoxia and hypercapnia during the operation. ECMO was performed for 6 days, and mechanical ventilation lasted 11 days. On the 31st day after surgery, he had recovered completely and was discharged without neurological deficit. Conclusion V-V ECMO can be considered for supportive care in children with severe acute respiratory failure after bronchial rupture. In an emergency, V-V ECMO can be carried out effectively in a qualified and experienced adult ECMO centre. However, the application of ECMO in children is different from that in adults and requires more refined management.https://doi.org/10.1186/s13019-022-01856-0Bronchial ruptureChildrenCardiac arrestVeno-venous extracorporeal membrane oxygenationCase report |
| spellingShingle | Xiaoqiong Chu Weibiao Chen Yafei Wang Luqi Zhu Mengqin Zhang Sheng Zhang ECMO for paediatric cardiac arrest caused by bronchial rupture and severe lung injury: a case report about life-threatening rescue at an adult ECMO centre Journal of Cardiothoracic Surgery Bronchial rupture Children Cardiac arrest Veno-venous extracorporeal membrane oxygenation Case report |
| title | ECMO for paediatric cardiac arrest caused by bronchial rupture and severe lung injury: a case report about life-threatening rescue at an adult ECMO centre |
| title_full | ECMO for paediatric cardiac arrest caused by bronchial rupture and severe lung injury: a case report about life-threatening rescue at an adult ECMO centre |
| title_fullStr | ECMO for paediatric cardiac arrest caused by bronchial rupture and severe lung injury: a case report about life-threatening rescue at an adult ECMO centre |
| title_full_unstemmed | ECMO for paediatric cardiac arrest caused by bronchial rupture and severe lung injury: a case report about life-threatening rescue at an adult ECMO centre |
| title_short | ECMO for paediatric cardiac arrest caused by bronchial rupture and severe lung injury: a case report about life-threatening rescue at an adult ECMO centre |
| title_sort | ecmo for paediatric cardiac arrest caused by bronchial rupture and severe lung injury a case report about life threatening rescue at an adult ecmo centre |
| topic | Bronchial rupture Children Cardiac arrest Veno-venous extracorporeal membrane oxygenation Case report |
| url | https://doi.org/10.1186/s13019-022-01856-0 |
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