Extracorporeal membrane oxygenation support in the setting of penetrating traumatic injuries. Issue 12 (23rd September 2022)

• Record Type: Journal Article
• Authors: Eisenga, John; Monday, Kara; Blough, Britton; Vandervest, Katherine; Lingle, Katy; Espinoza, Otoniel; Schwartz, Gary
• Is Part Of: Journal of cardiac surgery. Volume 37:Issue 12(2022)
• Page Start: 4359
• Page End: 4361
• Publication Date: 2022-09-23
• Subjects: cardiovascular pathology -- clinical review -- perfusion; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.16955
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: Background: Currently, no absolute contraindications to the use of extracorporeal membrane oxygenation (ECMO) support exist. However, the presence of penetrating traumatic injuries is often considered a relative contraindication to ECMO support. In this study, we aim to assess whether penetrating traumatic injuries should be considered a contraindication to the use of ECMO support, and how to better select patients who may benefit from this therapy. Materials and Methods: In this paper, we present the findings of a retrospective review of all patients at a large, level 1 trauma center who received ECMO support following penetrating traumatic injuries. We describe the use of ECMO in these patients along with the complications associated with this therapy. Conclusion: In this study we show penetrating traumatic injuries should not be considered a contraindication to ECMO support, and how ECMO can be a useful treatment strategy in selected patients with these injuries.