Document Detail


Extracorporeal membrane oxygenation resuscitation for traumatic brain injury after decompressive craniotomy.
MedLine Citation:
PMID:  18068892     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute cardiopulmonary failure in patients with increased intracranial pressure is a significant management challenge to physicians. We report on a 21-year-old patient with traumatic brain injury who developed intractable hypoxemia and hypotension after undergoing a decompressive craniotomy. Venoarterial extracorporeal membrane oxygenation was initiated to resuscitate the patient. Extracorporeal membrane oxygenation is considered contraindicated in patients with intracranial bleeding because systemic heparin is needed during the support of extracorporeal membrane oxygenation. We describe our successful experience in tackling this dilemma.
Authors:
Ting-Shan Yen; Chun-Chih Liau; Yih-Sharng Chen; Anne Chao
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-02-20
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  110     ISSN:  0303-8467     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-04     Completed Date:  2008-06-23     Revised Date:  2009-10-14    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  295-7     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, National Taiwan University Hospital, No. 7, Chung-Shan South Road, 100 Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain / radiography
Brain Injuries / complications*,  surgery*
Decompression, Surgical*
Extracorporeal Membrane Oxygenation*
Glasgow Coma Scale
Humans
Hypoxia, Brain / etiology,  therapy
Intracranial Hypotension / etiology,  therapy
Intraoperative Complications / therapy*
Male
Neurosurgical Procedures*
Resuscitation
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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