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An Interhospital Transfer for ECMO From a Level 1 Trauma Center to a Level 2 Within the Georgia Trauma System
Ist Teil von
The American surgeon, 2022-06, Vol.88 (6), p.1307-1309
Ort / Verlag
Los Angeles, CA: SAGE Publications
Erscheinungsjahr
2022
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
On pan-computed tomography (CT) scan, he was found to have trace right interventricular hemorrhage, prevertebral swelling from C2 to C5, a right clavicle fracture, bilateral pulmonary contusions, stranding around the head of his pancreas, fractures of ribs 1 and 2 on the right and rib 1 on the left, and nondisplaced T12 and L2 transverse process fractures. In the days following the addition of the paralytic and pulmonary vasodilator, trials of multiple ventilator modes (pressure control, volume control, bilevel) were attempted without any significant change in his oxygenation status. [...]the use of ECMO in this patient, in which all other resources for the treatment of acute respiratory distress syndrome were exhausted, resulted in a good outcome for an otherwise poor prognosis.