Postoperative extracorporeal membrane oxygenation for severe intraoperative SIRS 10 h after multiple trauma

M. Schupp; J. L.C. Swanevelder; G. J. Peek; A. W. Sosnowski; T. J. Spyt

doi:10.1093/bja/aeg014

Postoperative extracorporeal membrane oxygenation for severe intraoperative SIRS 10 h after multiple trauma

M. Schupp, J. L.C. Swanevelder, G. J. Peek, A. W. Sosnowski, T. J. Spyt

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

A 34-yr-old male suffered multiple trauma in a road traffic accident. He required right thoracotomy and laparotomy to control exanguinating haemorrhage, and received 93 u blood and blood products. Intraoperatively, he developed severe systemic inflammatory response syndrome (SIRS) with coagulopathy and respiratory failure. At the end of the procedure, the mean arterial pressure (MAP) was 40 mm Hg, arterial blood gas analysis showed a pH of 6.9, Pa_CO2, 12 kPa, and Pa_O2 4.5 kPa, and his core temperature was 29°C. There was established disseminated intravascular coagulation. The decision was made to stabilize the patient on venovenous extracorporeal membrane oxygenation (ECMO) only 10 h after the accident, in spite of the high risk of haemorrhage. The patient was stabilized within 60 min and transferred to the intensive care unit. He was weaned off ECMO after 51 h. He had no haemorrhagic complications, spent 3 weeks in the intensive care unit, and has made a good recovery.

Original language	English (US)
Pages (from-to)	91-94
Number of pages	4
Journal	British Journal of Anaesthesia
Volume	90
Issue number	1
DOIs	https://doi.org/10.1093/bja/aeg014
State	Published - Jan 1 2003
Externally published	Yes

Keywords

Acid-base equilibrium, metabolic acidosis
Blood, transfusion
Complications, trauma
Oxygen, delivery systems, extracorporeal membrane oxygenation

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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title = "Postoperative extracorporeal membrane oxygenation for severe intraoperative SIRS 10 h after multiple trauma",

abstract = "A 34-yr-old male suffered multiple trauma in a road traffic accident. He required right thoracotomy and laparotomy to control exanguinating haemorrhage, and received 93 u blood and blood products. Intraoperatively, he developed severe systemic inflammatory response syndrome (SIRS) with coagulopathy and respiratory failure. At the end of the procedure, the mean arterial pressure (MAP) was 40 mm Hg, arterial blood gas analysis showed a pH of 6.9, PaCO2, 12 kPa, and PaO2 4.5 kPa, and his core temperature was 29°C. There was established disseminated intravascular coagulation. The decision was made to stabilize the patient on venovenous extracorporeal membrane oxygenation (ECMO) only 10 h after the accident, in spite of the high risk of haemorrhage. The patient was stabilized within 60 min and transferred to the intensive care unit. He was weaned off ECMO after 51 h. He had no haemorrhagic complications, spent 3 weeks in the intensive care unit, and has made a good recovery.",

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AU - Swanevelder, J. L.C.

AU - Peek, G. J.

AU - Sosnowski, A. W.

AU - Spyt, T. J.

PY - 2003/1/1

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N2 - A 34-yr-old male suffered multiple trauma in a road traffic accident. He required right thoracotomy and laparotomy to control exanguinating haemorrhage, and received 93 u blood and blood products. Intraoperatively, he developed severe systemic inflammatory response syndrome (SIRS) with coagulopathy and respiratory failure. At the end of the procedure, the mean arterial pressure (MAP) was 40 mm Hg, arterial blood gas analysis showed a pH of 6.9, PaCO2, 12 kPa, and PaO2 4.5 kPa, and his core temperature was 29°C. There was established disseminated intravascular coagulation. The decision was made to stabilize the patient on venovenous extracorporeal membrane oxygenation (ECMO) only 10 h after the accident, in spite of the high risk of haemorrhage. The patient was stabilized within 60 min and transferred to the intensive care unit. He was weaned off ECMO after 51 h. He had no haemorrhagic complications, spent 3 weeks in the intensive care unit, and has made a good recovery.

AB - A 34-yr-old male suffered multiple trauma in a road traffic accident. He required right thoracotomy and laparotomy to control exanguinating haemorrhage, and received 93 u blood and blood products. Intraoperatively, he developed severe systemic inflammatory response syndrome (SIRS) with coagulopathy and respiratory failure. At the end of the procedure, the mean arterial pressure (MAP) was 40 mm Hg, arterial blood gas analysis showed a pH of 6.9, PaCO2, 12 kPa, and PaO2 4.5 kPa, and his core temperature was 29°C. There was established disseminated intravascular coagulation. The decision was made to stabilize the patient on venovenous extracorporeal membrane oxygenation (ECMO) only 10 h after the accident, in spite of the high risk of haemorrhage. The patient was stabilized within 60 min and transferred to the intensive care unit. He was weaned off ECMO after 51 h. He had no haemorrhagic complications, spent 3 weeks in the intensive care unit, and has made a good recovery.

KW - Acid-base equilibrium, metabolic acidosis

KW - Blood, transfusion

KW - Complications, trauma

KW - Oxygen, delivery systems, extracorporeal membrane oxygenation

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Postoperative extracorporeal membrane oxygenation for severe intraoperative SIRS 10 h after multiple trauma

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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